Case Analysis of Misdiagnosis in Emergency Internal Medicine
Abstract
Objective: This paper attempts to determine the clinical factors associated with the diagnosis of stroke in young adults. Method: We registered and examined young patients from the hospital stroke center. Demographic data, past medical history, 3 hours diagnosis time within the time frame, and the outcomes were assessed. We compared the patients with misdiagnosis and those who were correctly diagnosed in order to identify the factors associated with acute stroke. Results: From 2005−2011, 57 patients (16−50 years) were enrolled in the registry. 8 patients (14%; 4 men and 4 women, mean age 38 years) were misdiagnosed. Of these 8 patients, seven were initially discharged from the emergency department. Patients aged less than 35 years old (p = 0.05) and posterior circulation stroke patients (p = 0.006) were more likely to be misdiagnosed. Conclusion: First aid department needs to popularize the awareness of stroke among young adults. Misdiagnosis may cause the patient to lose the best chance of thrombolysis.
References
2. Saver JL. Time is brain-quantified. Stroke. 2006;37:263−266.
3. Putaala J, Metso AJ, Metso TN. Analysis of 1008 con-secutive patients aged 15 to 49 with first-ever ischemicstroke: The Helsinki Young Stroke Registry. Stroke. 2009;40:1195−1203.
4. Goldstein LB, Matcher DB. Clinical assessment of stroke. JAMA. 1994;271:1114−1120.
5. Ma HQ. Analysis and exploration of the causes of misdiagnosis in emergency internal medicine and explore the. Chinese Health Industry. 2013;(3):16.
6. Zhou F, Zhou MH, Yong M. Emergency medicine: 13 cases were misdiagnosed reasons analysis. Health Reading. 2011;(6):210.
7. Li YL, Liu CX. Analysis of the causes of misdiagnosis in 35 cases. Chinese Traditional Chinese Medicine. 2009;7(11):111.
Copyright (c) 2015 Yuzhen Hu, Liguo Shi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors submitting to USP journals agree to publish their manuscript under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0) where authors agree to allow third parties to share their work (copy, distribute, transmit) and to adapt it, under the condition that the authors are given credit, and that in the event of reuse or distribution, the terms of this license are made clear
Authors retain copyright of their work, with first publication rights (online and print) granted to Universe Scientific Publishing or the owner of the journal in question.
