[The management of acute cerebrovascular disorders at the Emergency Services at the Castellon General Hospital].
OBJECTIVE
To analyse the policy for hospital admission in the case of the patients who come to the Emergency Ward with acute cerebrovascular disorders.


METHODS
The study was based on a retrospective analysis of the release reports from the Emergency Ward of Castellón General Hospital in the course of 1991, in which stroke, or transitory ischemic attack (TIA) were diagnosed.


RESULTS
514 patients were attended to who went to the Emergency Ward because of cerebrovascular disorder. Of these, 57.2% were referred to hospital, with 42% being sent home. It was observed that 10.65% (n = 23) they did not accomplish the criteria for stroke. There was an overwhelming number of cases of TIA diagnosed (50.2%) in patients who were not admitted, contrasting with only 7.5% being selected for admission. We considered possible explanations for this.


CONCLUSIONS
We observed that as far as making the decision to admit a patient with acute cerebrovascular disorder, priority for admission was given in those cases which showed the worst neurological deficiencies, and had a worse prognosis as a consequence. Similarly, the older age (average 76.5 years old) was a prominent factor as far as those who were not admitted.
D000208:Acute Disease; D000367:Age Factors; D000368:Aged; D002561:Cerebrovascular Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D004632:Emergency Medical Services; D005260:Female; D006760:Hospitalization; D006769:Hospitals, General; D006801:Humans; D015994:Incidence; D008297:Male; D010343:Patient Admission; D011379:Prognosis; D012017:Referral and Consultation; D013030:Spain
Enfermedad vásculocerebral aguda atendida en el servicio de Urgencias del Hospital General de Castellón.