scholarly journals The Neurologist in the Emergency Room: Prospective Study of the Neurological Emergency Group in Lombardia

2019 ◽  
Vol 7 (4) ◽  
Author(s):  
MariaLuisa Delodovici ◽  
Marco Mauri ◽  
Megi Meneri ◽  
Marco Gallazzi ◽  
Elena Ballabio ◽  
...  
Author(s):  
Marcela Echavarria ◽  
Noelia S. Reyes ◽  
Pamela E. Rodriguez ◽  
Martin Ypas ◽  
Carmen Ricarte ◽  
...  

2021 ◽  
Vol 5 (1) ◽  
pp. e000966
Author(s):  
Jhon Camacho-Cruz ◽  
Shirley Briñez ◽  
Jorge Alvarez ◽  
Victoria Leal ◽  
Licet Villamizar Gómez ◽  
...  

IntroductionMost scales for acute respiratory infection (ARI) are limited to healthcare worker (HCW) use for clinical decision-making. The Respiratory Syncytial Virus network (ReSVinet) Scale offers a version for parents that could potentially help as an early warning system.ObjectiveTo determine whether or not the ReSVinet Scale for ARI in infants can be reliably used by HCWs and parents in an emergency service.MethodsA prospective study was done of infants with ARI who were admitted to a paediatric emergency room to assess the ReSVinet Scale when used by faculty (paediatric doctor-professors), residents (doctors doing their first specialty in paediatrics) and parents. Spearman’s correlation and a weighted kappa coefficient were used to measure interobserver agreement. Internal consistency was also tested by Cronbach’s alpha test.ResultsOverall, 188 patients, 58% male, were enrolled. A Spearman’s correlation of 0.92 for faculty and resident scoring and 0.64 for faculty or resident and parent scoring was found. The weighted kappa coefficients were 0.78 for faculty versus residents, 0.41 for faculty versus parents, and 0.41 for residents versus parents. Cronbach’s alpha test was 0.67 for faculty, 0.62 for residents and 0.69 for parents.ConclusionThere was good correlation in the ReSVinet scores between health professionals when used in the paediatric emergency area. Agreement between parents and health professionals was found to be more variable. Future studies should focus on finding ways to improve its reliability when used by parents before the scale is used in the emergency room.


2011 ◽  
Vol 75 (3-4) ◽  
pp. 341-343 ◽  
Author(s):  
Erol Veznedaroglu ◽  
Mitchell Rubin ◽  
Michael D'Ambrosio

2014 ◽  
Vol 29 (4) ◽  
pp. 193-199
Author(s):  
P.M. Rodríguez Cruz ◽  
J.R. Pérez Sánchez ◽  
J.P. Cuello ◽  
P. Sobrino García ◽  
G. Vicente Peracho ◽  
...  

2006 ◽  
Vol 18 (1) ◽  
pp. 108-112 ◽  
Author(s):  
Jesus Ramirez-Bermudez ◽  
Mario Lopez-Gómez ◽  
Luisa Sosa Ana ◽  
Sergio Aceves ◽  
Juan Nader-Kawachi ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Franziska Maria Ippen ◽  
Fabian Walter ◽  
Christian Hametner ◽  
Christoph Gumbinger ◽  
Simon Nagel ◽  
...  

Background: Transient ischemic attack (TIA) needs further diagnostic evaluation to prevent future ischemic stroke. However, prophylaxis can be harmful in elderly if the diagnosis is wrong. We aimed at characterizing differences in TIA mimics in younger and older patients to enhance diagnostic accuracy in elderly patients.Methods: In a dedicated neurological emergency room (nER) of a tertiary care University hospital, patients with transient neurological symptoms suspicious of TIA (<24 h) were retrospectively analyzed regarding their final diagnoses and their symptoms. These parameters were compared between patients aged 18–70 and >70 years using descriptive, univariable, and multivariable statistics.Results: From November 2018 until August 2019, 386 consecutive patients were included. 271 (70%) had cardiovascular risk factors and all patients received cerebral imaging, mostly CT [376 (97%)]. There was no difference in the rate of diagnosed TIA between the age groups [85 (46%) vs. 58 (39%); p = 0.213].TIA mimics in the elderly were more often internal medicine diseases [35 (19%) vs. 7 (5%); p < 0.001] and epileptic seizures [48 (26%) vs. 24 (16%); p = 0.032] but less often migraine [2 (1%) vs. 20 (13%); p < 0.001]. The most frequent symptoms in all patients were aphasia and dysarthria [107 (28%) and 92 (24%)]. Sensory impairments were less frequent in elderly patients [23 (11%) vs. 54 (30%); p < 0.001]. Impaired consciousness and orientation were independent predictors for TIA mimics (p < 0.001) whereas facial palsy (p < 0.001) motor weakness (p < 0.001), dysarthria (p = 0.022) and sensory impairment (p < 0.001) were independent predictors of TIA.Conclusion: TIA mimics in elderly patients are more likely to be internal medicine diseases and epilepsy compared to younger patients. Excluding internal medicine diseases seems to be important in elderly patients. Facial palsy, motor weakness, dysarthria and sensory impairment are associated with TIA.


2009 ◽  
Vol 285 ◽  
pp. S312-S313
Author(s):  
V. Vuković ◽  
M. Knežević-Pavlić ◽  
J. Tumpić-Jaković ◽  
M. Strineka ◽  
A. Lovrenčić-Huzjan ◽  
...  

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