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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Stroke Mimics Transported by Emergency Medical Services to a Comprehensive Stroke Center: The Magnitude of the Problem
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Stroke Mimics Transported by Emergency Medical Services to a Comprehensive Stroke Center: The Magnitude of the Problem

机译：冲程模仿由紧急医疗服务运输到全面的中风中心：问题的严重程度

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BackgroundDespite the use of validated prehospital stroke scales, stroke mimics are frequent among patients transported by Emergency Medical Services to the Emergency Department. We aimed to describe the frequency and characteristics of neurological and non-neurological mimics transported to a comprehensive stroke center for acute stroke evaluation. MethodsThis was a retrospective analysis of a database consisting of all consecutive patients with suspected stroke transported to the Emergency Department of a comprehensive stroke center during an 18-month period. Hospital charts and neuroimaging were utilized to adjudicate the final diagnosis (acute stroke, stroke mimic, and specific underlying diagnoses). ResultsNine hundred fifty patients were transported with suspected stroke, among whom 405 (42.6%) were stroke mimics (age 66.9 ± 17.1 years; 54% male). Neurological mimics were diagnosed in 223 (55.1%) patients and mimics were non-neurological in 182. The most common neurological diagnoses were seizures (19.7%), migraines (18.8%), and peripheral neuropathies (11.2%). Cardiovascular (14.6%) and psychiatric (11.9%) diagnoses were common non-neurological mimics. Patients with neurological mimics were younger (64.1 ± 17.3?years versus 70.5 ± 16.1?years,P< .001) and had less vascular risk factors than non-neurological mimics. The proportion of non-neurological mimics remained high (38%) despite the use of a prehospital stroke identification scale. ConclusionsStroke mimics are common among patients transported by Emergency Medical Services to a comprehensive stroke center for suspected stroke, with a considerable proportion being non-neurological in origin. Studies refining triage and transport of suspected acute stroke may be warranted to minimize the number of mimics transported by to a comprehensive stroke center for acute stroke evaluation.
机译：BackgroundStempite使用验证的前孢子中风鳞片，中风模仿在由紧急医疗服务到急诊部门运输的患者中经常出现。我们的目标是描述神经系统和非神经模型的频率和特征，其传输到急性中风评估的综合中风中心。方法是回顾性分析，该数据库分析，该数据库包括在18个月的时间内运送到综合中风中心急诊部门的疑似行程的所有连续行程。使用医院图和神经影像图来判断最终诊断（急性中风，卒中和特定的潜在潜在诊断）。康霉素一百五十名患者用疑似中风运输，其中405（42.6％）中风模仿（66.9±17.1岁; 54％的男性）。在223例（55.1％）患者中诊断出神经系统模拟物，并在182年的模仿中是非神经系统的。最常见的神经系统诊断是癫痫发作（19.7％），偏头痛（18.8％）和外周神经病症（11.2％）。心血管（14.6％）和精神病学（11.9％）诊断是常见的非神经系统模拟。患有神经模仿的患者更年轻（64.1±17.3？岁月与70.5±16.1岁以下，P <.001）并且具有比非神经系统模拟的血管危险因素较少。尽管使用预孢子性中风识别尺度，但非神经系统模拟的比例仍然很高（38％）。结论肠道模仿常见的患者常见于应急医疗服务，以涉嫌卒中的综合中风中心，具有相当大的比例是非神经系统的。可以有必要研究炼制分类和疑似急性卒中的运输，以尽量减少对急性中风评估的综合中风中心运输的模仿数量。

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