[Emergency assessment in the hospital: the ability of early diagnostic tests to predict short-term prognosis, progression of infarct, hemorrhagic conversion and cerebral edema].
Acute stroke should be assessed by a specialist on an emergency basis. This article reviews the ability of clinical data and the results of diagnostic tests performed within 6 hours of onset to predict short-term prognosis, neurological deterioration, hemorrhagic transformation of the infarct and cerebral edema. Scores on neurological deficit scales, early signs of infarct on cranial computerized tomography, biochemical parameters such as glycemia, and the characteristics of vascular occlusion on Doppler ultrasonography or angiography are good predictors of acute phase complications and can be used to help identify patients that might benefit from new stroke therapies.
Dávalos Errando
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Sección de Neurologia, Hospital de Girona Doctor Josep Trueta, Girona.
D001929:Brain Edema / Q000175:diagnosis* / Q000503:physiopathology; D002343:Carotid Artery, Internal / Q000503:physiopathology / Q000601:surgery; D016893:Carotid Stenosis / Q000503:physiopathology / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000503:physiopathology; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000503:physiopathology / Q000534:rehabilitation; D004636:Emergency Service, Hospital; D006760:Hospitalization; D006801:Humans; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler
Evaluación urgente al ingreso hospitalario: capacidad predictiva de las pruebas diagnósticas precoces sobre el pronóstico a corto plazo, la progresión del infarto, la conversión hemorrágica y el edema cerebral.