Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits

• Published in: Stroke Research and Treatment 2016-01, Vol.2016 (2016), p.37-42
• Main Authors: Gebel, J., Wisco, D., George, P., Mohebbi, M. R., Natteru, P., Newey, C. R.
• Format: Article
• Language: English
• Subjects: Care and treatment; Diagnosis; Economic aspects; Medical care, Cost of; Stroke (Disease)
• ISSN: 2090-8105; 2042-0056; 2042-0056
• DOI: 10.1155/2016/4393127

Introduction. Strokes and stroke-mimics have been extensively studied in the emergency department setting. Although in-hospital strokes are less studied in comparison to strokes in the emergency department, they are a source of significant direct and indirect costs. Differentiating in-hospital strokes from stroke-mimics is important. Thus, our study aimed to identify variables that can differentiate in-hospital strokes from stroke-mimics. Methods. We present here a retrospective analysis of 93 patients over a one-year period (2009 to 2010), who were evaluated for a concern of in-hospital strokes. Results. About two-thirds (57) of these patients were determined to have a stroke, and the remaining (36) were stroke-mimics. Patients with in-hospital strokes were more likely to be obese (p=0.03), have been admitted to the cardiology service (p=0.01), have atrial fibrillation (p=0.03), have a weak hand or hemiparesis (p=0.03), and have a prior history of stroke (p=0.05), whereas, when the consults were called for “altered mental status” but no other deficits (p