Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.10/828
Título: Diagnosis of stroke by the nonneurologist: a validation study.
Autor: Ferro, J
Pinto, A
Falcão, I
Rodrigues, G
Ferreira, J
Falcão, F
Azevedo, E
Canhão, P
Melo, T
Rosas, MJ
Oliveira, V
Salgado, AV
Palavras-chave: Stroke
Brain ischemia
Cerebrovascular diseases
Emergency medical services
Data: 1998
Editora: American Heart Association
Citação: Stroke. 1998 Jun;29(6):1106-9
Resumo: BACKGROUND AND PURPOSE: The first medical contact of an acute stroke victim is often a nonneurologist. Validation of stroke diagnosis made by these medical doctors is poorly known. The present study seeks to validate the stroke diagnoses made by general practitioners (GPs) and hospital emergency service physicians (ESPs). METHODS: Validation through direct interview and examination by a neurologist was performed for diagnoses of stroke made by GPs in patients under their care and doctors working at the emergency departments of 3 hospitals. RESULTS: Validation of the GP diagnosis was confirmed in 44 cases (85%); 3 patients (6%) had transient ischemic attacks and 5 (9%) suffered from noncerebrovascular disorders. Validation of the ESP diagnosis was confirmed in 169 patients (91%); 16 (9%) had a noncerebrovascular diagnosis. Overall, the most frequent conditions misdiagnosed as stroke were neurological in nature (cerebral tumor, 3; subdural hematoma, 1; seizure, 1; benign paroxysmal postural vertigo, 1; peripheral facial palsy, 2; psychiatric condition, 6; and other medical disorders, 7). CONCLUSIONS: In the majority of cases, nonneurologists (either GPs or ESPs) can make a correct diagnosis of acute stroke. Treatment of acute stroke with drugs that do not cause serious side effects can be started before evaluation by a neurologist and CT scan.
Peer review: yes
URI: http://hdl.handle.net/10400.10/828
ISSN: 1524-4628
Aparece nas colecções:NEU - Artigos

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