Open AccessEFFICIENCY OF PRE-HOSPITAL DIAGNOSIS OF THE STROKE
Author(s) -
В.И. Горбачев,
A. M. Anuryev,
И Л Петрова,
И. А. Каретников,
Светлана Михайловна Горбачева,
N. T. Kovalevа,
P. G. Shnyakin
Publication year - 2019
Publication title -
skoraâ medicinskaâ pomoŝʹ
Language(s) - English
Resource type - Journals
ISSN - 2072-6716
DOI - 10.24884/2072-6716-2019-20-4-19-24
Subject(s) - medicine , stroke (engine) , medical record , emergency medicine , diabetes mellitus , emergency department , medical emergency , pediatrics , mechanical engineering , psychiatry , engineering , endocrinology
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.