Neurological diagnoses in the emergency room: differences between younger and older patients
Document title: Neurological diagnoses in the emergency room: differences between younger and older patients
Journal: Arquivos de neuro-psiquiatria
Database: PERIÓDICA
System number: 000354798
ISSN: 0004-282X
Authors: 1
1
1
1
1
1
1
1
1
1
Institutions: 1Universidade Federal do Parana, Hospital de Clinicas, Curitiba, Parana. Brasil
Year:
Season: Abr
Volumen: 69
Number: 2A
Pages: 212-216
Country: Brasil
Language: Inglés
Document type: Estadística o encuesta
Approach: Descriptivo
English abstract 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
Portuguese abstract Doenças neurológicas são prevalentes na sala de emergência (SE). O objetivo deste estudo é comparar a ocorrência de diagnósticos neurológicos entre pacientes jovens e idosos atendidos na SE de um hospital terciário. MÉTODO: Pacientes admitidos na SE que necessitaram avaliação neurológica nas primeiras 24 horas após a admissão foram separados em dois grupos baseados na idade, <50 anos de idade e >50 anos de idade. RESULTADOS: Doença cerebrovascular foi o diagnóstico mais comum nos pacientes >50 anos (59,6% vs. 21,8%, p<0,01). Convulsões (8,1% vs. 18,6%, p<0,01) e cefaléias primárias (3,7% vs. 114%, p<0,01) foram mais frequentes no grupo <50 anos. CONCLUSÃO: O presente estudo demonstrou que esses três diagnósticos neurológicos representam a maioria das avaliações neurológicas na SE. Diretrizes nacionais para os profissionais emergencistas que tratam estas doenças devem ser incluídos na prática clínica e no treinamento médico
Disciplines: Medicina
Keyword: Diagnóstico,
Neurología,
Enfermedades neurológicas,
Urgencias,
Cefalea,
Convulsiones,
Epidemiología,
Evaluación neurológica,
Servicios de salud,
Edad
Keyword: Medicine,
Diagnosis,
Neurology,
Neurological diseases,
Emergencies,
Headache,
Seizures,
Epidemiology,
Health services,
Neurological evaluation,
Age
Full text: Texto completo (Ver HTML)