title: Neurological diagnoses in the emergency room: differences between younger and older patients.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Neurology Division, Internal Medicine Department, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.
authors.forename: Marcos C
authors.initials: MC
authors.lastname: Lange
authors.forename: Vera L
authors.initials: VL
authors.lastname: Braatz
authors.forename: Carolina
authors.initials: C
authors.lastname: Tomiyoshi
authors.forename: Felipe M
authors.initials: FM
authors.lastname: Nóvak
authors.forename: Artur F
authors.initials: AF
authors.lastname: Fernandes
authors.forename: Laura N
authors.initials: LN
authors.lastname: Zamproni
authors.forename: Elcio J
authors.initials: EJ
authors.lastname: Piovesan
authors.forename: Edison M
authors.initials: EM
authors.lastname: Nóvak
authors.forename: Helio A G
authors.initials: HA
authors.lastname: Teive
authors.forename: Lineu C
authors.initials: LC
authors.lastname: Werneck
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000175:diagnosis*; D012189:Retrospective Studies