Missed diagnosis of stroke in the emergency department: a cross ...

Q: What is a potentially missed stroke diagnosis?

A potentially missed stroke diagnosis was defined as a patient with an inpatient hospital admission for stroke preceded by a treat-and-release ED visit in the prior 30 days diagnosed as anything other than a cerebrovascular diagnosis.

Q: What tests indicates a previous stroke?

The cerebrovascular accident (CVA), popularly known as stroke, is the sudden interruption of cerebral blood flow by some mechanism that prevents the passage of blood (which can be a thrombus or a blood clot, for example). By definition, stroke irreversibly damages some brain area, causing ischemia and death of that tissue (as well as the affected region). However, as the infarcted area can vary from small to large extensions, in patients with little or no clinical evidence, only neuroimaging tests (such as tomography or magnetic resonance imaging), sometimes requiring specific image acquisition techniques, can determine if there has been previous cell death in some brain areas.

Q: How many stroke patients are misdiagnosed in emergency department?

Methods: Retrospective review comparing 156 consecutive stroke patients misdiagnosed in emergency department (ED) with 156 randomly selected stroke controls matched for age, gender, language spoken and stroke subtype for the period 2014-2016.

Q: What is the failure to recognize an ischemic stroke in the emergency department?

Background and purpose: The failure to recognize an ischemic stroke in the emergency department is a missed opportunity for acute interventions and for prompt treatment with secondary prevention therapy.

Q: Can a stroke diagnosis be missed in the Ed?

Performing a systematic neurological examination on all patients with these complaints is the first step to ensuring that a stroke diagnosis is not missed in the ED. In our study, a patient who was accurately diagnosed was 6× more likely to be triaged as an acute stroke code.

Q: What percentage of patients have missed strokes without a neurology exam?

At the community hospital, 65% of patients without a documented neurology examination ended up having missed strokes. Of all the missed strokes at both hospitals, 40% of them were missing neurological examinations that included elements of the NIHSS, compared with 8% of the accurately diagnosed strokes (P <0.001).

Missed opportunities to diagnose a cerebrovascular cause for symptoms include missed stroke , missed TIA , and missed sentinel headaches from intracranial aneurysms . Preventable harm may result from missed opportunities for acute treatment [ 14 ] or management to avert a second, …

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Missed Diagnosis Of Stroke In The Emergency Department: A Cross …

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This observational study identified patients who visited the emergency department within 30 days prior to a stroke diagnosis. Nearly 13% of patients had a potential missed diagnosis, and more …

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Missed Opportunities For Recognition Of Ischemic Stroke In The ...

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Results: A diagnosis of suspected stroke was missed in 15.3% of patients who presented to the emergency department. We found a strong association (P < 0.0001) between symptom …

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Missed Opportunities For Recognition Of Ischemic Stroke In The ...

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A diagnosis of suspected stroke was missed in 15.3% of patients who presented to the emergency department. We found a strong association (P < 0.0001) between symptom …

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Potentially Missed Diagnosis Of Ischemic Stroke In The Emergency ...

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5 Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH. ... Only 1.1% of those with a missed stroke diagnosis were eligible for tPA. Conclusion: In …

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Signs Of A Stroke: Act Quickly With BE FAST - Cleveland Clinic …

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Jan 15, 2025 · Here’s a scary fact: Only an estimated 36% of people in the U.S. know even one of the signs of a stroke. A neurologist explains how the acronym BE FAST can help you …

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Safer Stroke-Dx Instrument: Identifying Stroke Misdiagnosis In …

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• Misses or delays in diagnosis of acute stroke during the initial emergency department presentation has been reported in as high as 9% of confirmed stroke patients. • There are …

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FAQs about Missed diagnosis of stroke in the emergency department: a cross ... Coupon?

What is a potentially missed stroke diagnosis?

A potentially missed stroke diagnosis was defined as a patient with an inpatient hospital admission for stroke preceded by a treat-and-release ED visit in the prior 30 days diagnosed as anything other than a cerebrovascular diagnosis. ...

What tests indicates a previous stroke?

The cerebrovascular accident (CVA), popularly known as stroke, is the sudden interruption of cerebral blood flow by some mechanism that prevents the passage of blood (which can be a thrombus or a blood clot, for example). By definition, stroke irreversibly damages some brain area, causing ischemia and death of that tissue (as well as the affected region). However, as the infarcted area can vary from small to large extensions, in patients with little or no clinical evidence, only neuroimaging tests (such as tomography or magnetic resonance imaging), sometimes requiring specific image acquisition techniques, can determine if there has been previous cell death in some brain areas. ...

How many stroke patients are misdiagnosed in emergency department?

Methods: Retrospective review comparing 156 consecutive stroke patients misdiagnosed in emergency department (ED) with 156 randomly selected stroke controls matched for age, gender, language spoken and stroke subtype for the period 2014-2016. ...

What is the failure to recognize an ischemic stroke in the emergency department?

Background and purpose: The failure to recognize an ischemic stroke in the emergency department is a missed opportunity for acute interventions and for prompt treatment with secondary prevention therapy. ...

Can a stroke diagnosis be missed in the Ed?

Performing a systematic neurological examination on all patients with these complaints is the first step to ensuring that a stroke diagnosis is not missed in the ED. In our study, a patient who was accurately diagnosed was 6× more likely to be triaged as an acute stroke code. ...

What percentage of patients have missed strokes without a neurology exam?

At the community hospital, 65% of patients without a documented neurology examination ended up having missed strokes. Of all the missed strokes at both hospitals, 40% of them were missing neurological examinations that included elements of the NIHSS, compared with 8% of the accurately diagnosed strokes (P <0.001). ...