title: Is It Acute Stroke or Not - A Prospective Observational Study from a Multidisciplinary Emergency Department.
abstract: BACKGROUND
  Acute stroke is a medical emergency with various clinical presentations. Since the introduction of systemic thrombolytic treatment, stroke diagnosis has been made quickly and with great caution, and the trend of rapid presentation at hospitals has increased.
  
  
  METHODS
  In our multidisciplinary Emergency Department, we prospectively collected and analysed data of consecutive patients presenting with suspected acute stroke (SAS) or transient ischemic attack (TIA).
  
  
  RESULTS
  Four hundred ten patients (200 men, mean age 68 ± 16, range 17-93 years) with SAS were admitted of which 105 were prehospitally announced as within the time-window for thrombolytic treatment (TW). Diagnosis of acute stroke/TIA was retained in 147 (35.9%). The initially reported TW <4.5 h was wrong in 35.3%. Thrombolysis was performed in 27 patients (23.5% of ischemic stroke patients; 6.6% of all SAS). Diagnosis of another neurologic disease was made in 62 (15.1%). Major differential diagnoses came from the field of internal medicine, psychiatry or otorhinolaryngology. One hundred fifty patients (36.6%) were rapidly discharged.
  
  
  CONCLUSIONS
  About half the number of our patients admitted for SAS did not suffer from an acute neurologic disease. Residual symptoms post-stroke might be partly responsible for initial misinterpretation. The crucial difference between symptom onset and symptom recognition needs to be emphasized to improve the prehospital assessment of the TW.
authors.affiliation: Department of Neurology, Universitx00E4;tsmedizin Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Marc E
authors.initials: ME
authors.lastname: Wolf
authors.forename: Anastasios
authors.initials: A
authors.lastname: Chatzikonstantinou
authors.forename: Joachim
authors.initials: J
authors.lastname: Grüttner
authors.forename: Anne D
authors.initials: AD
authors.lastname: Ebert
authors.forename: Thomas
authors.initials: T
authors.lastname: Walter
authors.forename: Michael G
authors.initials: MG
authors.lastname: Hennerici
authors.forename: Marc
authors.initials: M
authors.lastname: Fatar
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D020521:Stroke / Q000175:diagnosis*; D055815:Young Adult