Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits
Introduction. Strokes and stroke-mimics have been extensively studied in the emergency department setting. Although in-hospital strokes are less studied in comparison to strokes in the emergency department, they are a source of significant direct and indirect costs. Differentiating in-hospital strok...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2016/4393127 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553935280275456 |
|---|---|
| author | P. Natteru M. R. Mohebbi P. George D. Wisco J. Gebel C. R. Newey |
| author_facet | P. Natteru M. R. Mohebbi P. George D. Wisco J. Gebel C. R. Newey |
| author_sort | P. Natteru |
| collection | DOAJ |
| description | Introduction. Strokes and stroke-mimics have been extensively studied in the emergency department setting. Although in-hospital strokes are less studied in comparison to strokes in the emergency department, they are a source of significant direct and indirect costs. Differentiating in-hospital strokes from stroke-mimics is important. Thus, our study aimed to identify variables that can differentiate in-hospital strokes from stroke-mimics. Methods. We present here a retrospective analysis of 93 patients over a one-year period (2009 to 2010), who were evaluated for a concern of in-hospital strokes. Results. About two-thirds (57) of these patients were determined to have a stroke, and the remaining (36) were stroke-mimics. Patients with in-hospital strokes were more likely to be obese (p=0.03), have been admitted to the cardiology service (p=0.01), have atrial fibrillation (p=0.03), have a weak hand or hemiparesis (p=0.03), and have a prior history of stroke (p=0.05), whereas, when the consults were called for “altered mental status” but no other deficits (p<0.0001), it is likely a stroke-mimic. Conclusion. This study demonstrates that in-hospital strokes are a common occurrence, and knowing the variables can aid in their timely diagnosis and treatment. |
| format | Article |
| id | doaj-art-3352207d98814f8a88380cd1b620178d |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-3352207d98814f8a88380cd1b620178d2025-02-03T05:52:46ZengWileyStroke Research and Treatment2090-81052042-00562016-01-01201610.1155/2016/43931274393127Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological DeficitsP. Natteru0M. R. Mohebbi1P. George2D. Wisco3J. Gebel4C. R. Newey5Department of Neurology, University of Missouri, Columbia, 5 Hospital Drive, CE 540, Columbia, MO 65211, USADepartment of Emergency Medicine, University of Missouri, Columbia, Columbia, MO, USACleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USACleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USAAkron General Hospital, 3562 Ridge Park Dr, Akron, OH 44333, USADepartment of Neurology, University of Missouri, Columbia, 5 Hospital Drive, CE 540, Columbia, MO 65211, USAIntroduction. Strokes and stroke-mimics have been extensively studied in the emergency department setting. Although in-hospital strokes are less studied in comparison to strokes in the emergency department, they are a source of significant direct and indirect costs. Differentiating in-hospital strokes from stroke-mimics is important. Thus, our study aimed to identify variables that can differentiate in-hospital strokes from stroke-mimics. Methods. We present here a retrospective analysis of 93 patients over a one-year period (2009 to 2010), who were evaluated for a concern of in-hospital strokes. Results. About two-thirds (57) of these patients were determined to have a stroke, and the remaining (36) were stroke-mimics. Patients with in-hospital strokes were more likely to be obese (p=0.03), have been admitted to the cardiology service (p=0.01), have atrial fibrillation (p=0.03), have a weak hand or hemiparesis (p=0.03), and have a prior history of stroke (p=0.05), whereas, when the consults were called for “altered mental status” but no other deficits (p<0.0001), it is likely a stroke-mimic. Conclusion. This study demonstrates that in-hospital strokes are a common occurrence, and knowing the variables can aid in their timely diagnosis and treatment.http://dx.doi.org/10.1155/2016/4393127 |
| spellingShingle | P. Natteru M. R. Mohebbi P. George D. Wisco J. Gebel C. R. Newey Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits Stroke Research and Treatment |
| title | Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits |
| title_full | Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits |
| title_fullStr | Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits |
| title_full_unstemmed | Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits |
| title_short | Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits |
| title_sort | variables that best differentiate in patient acute stroke from stroke mimics with acute neurological deficits |
| url | http://dx.doi.org/10.1155/2016/4393127 |
| work_keys_str_mv | AT pnatteru variablesthatbestdifferentiateinpatientacutestrokefromstrokemimicswithacuteneurologicaldeficits AT mrmohebbi variablesthatbestdifferentiateinpatientacutestrokefromstrokemimicswithacuteneurologicaldeficits AT pgeorge variablesthatbestdifferentiateinpatientacutestrokefromstrokemimicswithacuteneurologicaldeficits AT dwisco variablesthatbestdifferentiateinpatientacutestrokefromstrokemimicswithacuteneurologicaldeficits AT jgebel variablesthatbestdifferentiateinpatientacutestrokefromstrokemimicswithacuteneurologicaldeficits AT crnewey variablesthatbestdifferentiateinpatientacutestrokefromstrokemimicswithacuteneurologicaldeficits |