Neurological diagnoses in the emergency room: differences between younger and older patients

Arquivos de Neuro-Psiquiatria

Marcos C. Lange¹  Vera L. Braatz¹  Carolina Tomiyoshi¹  Felipe M. Nóvak¹  Artur F. Fernandes¹  Laura N. Zamproni¹  Élcio J. Piovesan¹  Edison M. Nóvak¹  Helio A.g. Teive¹  Lineu C. Werneck¹ 

[1] ,Universidade Federal do Paraná Hospital de Clínicas Internal Medicine DepartmentCuritiba PR ,Brazil

关键词: nervous-system disease;    stroke;    headache;    seizures;    emergency medical services;    health services epidemiology;    doença do sistema nervoso;    AVC;    cefaléia;    convulsões;    serviço médico de emergência;    epidemiologia em serviços de saúde;   

DOI  :  10.1590/S0004-282X2011000200014

来源: SciELO

【 摘 要 】

Neurological diseases are prevalent in the emergency room (ER). The aim of this study was to compare the neurological diagnoses between younger and older patients evaluated in the ER of a tertiary care hospital. METHOD: Patients admitted to the ER who required neurological evaluation in the first 24 hours were separated into two groups based on age, <;50 years old and >50 years old. RESULTS: Cerebrovascular disease (59.6% vs. 21.8%, p<0.01) was most frequent in the >50 years old group. Seizures (8.1% vs. 18.6%, p<0.01) and primary headache (3.7% vs. 11.4%, p<0.01) were most frequent in the <;50 years old group. CONCLUSION: The current study demonstrated that these three neurological diagnoses represented the majority of the neurological evaluations in the ER. National guidelines for ER teams that treat these prevalent disorders must be included in clinical practice and training.

【 授权许可】

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