EFFICIENCY OF PRE-HOSPITAL DIAGNOSIS OF THE STROKE
V. I. Gorbachev,
A. M. Anuryev,
I. L. Petrovа,
I. A. Karetnikov,
S. M. Gorbachevа,
N. T. Kovalevа,
P. G. Shnyakin https://doi.org/10.24884/2072-6716-2019-20-4-19-24
Abstract
Purpose of the study. To assess the quality of diagnosis cerebrovascular accident (CA) at the pre-hospital stage in patients brought to the regional vascular center.
Material and methods. 2708 case histories of the emergency department and accompanying sheets of first aid in patients with a guiding diagnosis of CA and 973 medical records of impatient in the regional vascular center were analyzed.
Results and conclusion. Of the 2708 patients admitted with a diagnosis of CA, 973 people were hospitalized. Among hospitalized patients, the diagnosis of stroke was confirmed in 96.5% of cases. The most frequent diseases that were mistakenly diagnosed as a stroke turned out to be: diabetes, traumatic brain injury and brain neoplasms, etc. Confirmation of the guiding diagnosis during self-circulation was 36.6%, when delivered by ambulance crews — 39.8%, air ambulance — 86.7% and by sanitary transport — 16.5% of cases.
About the Authors
V. I. Gorbachev
Irkutsk State Medical Academy of Continuing Education;
Irkutsk State Regional Clinical Hospital
Russian Federation
Russian Federation
Vladimir I. Gorbachev
IrkutskA. M. Anuryev
Irkutsk State Medical Academy of Continuing Education;
Irkutsk State Regional Clinical Hospital
Russian Federation
Russian Federation
Aleksej M. Anuryev
IrkutskI. L. Petrovа
Irkutsk State Medical Academy of Continuing Education;
Irkutsk State Regional Clinical Hospital
Russian Federation
Russian Federation
Irina L. Petrovа
IrkutskI. A. Karetnikov
Irkutsk State Medical Academy of Continuing Education;
Irkutsk State Regional Clinical Hospital
Russian Federation
Russian Federation
Igor’ A. Karetnikov
IrkutskS. M. Gorbachevа
Irkutsk State Medical Academy of Continuing Education;
Irkutsk State Regional Clinical Hospital
Russian Federation
Russian Federation
Svetlana M. Gorbachevа
IrkutskN. T. Kovalevа
Irkutsk State Regional Clinical Hospital
Russian Federation
Russian Federation
Natal’ya T. Kovalevа
IrkutskP. G. Shnyakin
Krasnoyarsk State Regional Clinical Hospital
Russian Federation
Russian Federation
Pavel G. Shnyakin
KrasnoyarskReferences
1. Gorbachev V. I., Shprakh V. V., Gorbacheva S. M., Lebed O. N., Burdukovskaya N. L. Medical care to patients with stroke in the frames of the federal program in the Irkutsk oblast. Zhurnal nevrologii i psihiatrii im. C. C. Korsakova, 2013, Vol. 113, № 9–2, рр. 73–76 (in Russ.).
2. Stroke: modern technologies of diagnosis and treatment: a guide for doctors / ed. M. A. Piradova, M. M. Tanashyan, M. Yu. Maksimova. Moscow: Izdatel’stvo MEDPress-inform, 2018 (in Russ.).
3. Kothari R.U., Pancioli A., Liu T., Brott T., Broderick J. Cincinnati Prehospital Stroke Scale: reproducibility and validity // Ann. Emerg. Med. 1999. Vol. 33 (4). Р. 373–378. http://doi.org/10.1016/S0196–0644(99)70299–4.
4. Powers W.J., Rabinstein A. A., Ackerson T. et al. 2018 Guidelines for the early management of patients with acute ischemic stroke: A Guideline for healthcare professionals from the American Heart Association/ American Stroke Association // Stroke. 2018. Vol. 49 (3). Р. 46–110. http://doi.org/10.1161/STR.000.000.0000000158.
Review
For citations:
Gorbachev V.I., Anuryev A.M., Petrovа I.L., Karetnikov I.A., Gorbachevа S.M., Kovalevа N.T., Shnyakin P.G. EFFICIENCY OF PRE-HOSPITAL DIAGNOSIS OF THE STROKE. EMERGENCY MEDICAL CARE. 2019;20(4):19-24. (In Russ.) https://doi.org/10.24884/2072-6716-2019-20-4-19-24
Views:
779
Email this article 