Neurological diagnoses in the emergency room: differences between younger and older patients

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. METHOD: Patients admitted to the ER who required neurological evaluation in the first 24...

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Main Authors: Marcos C. Lange, Vera L. Braatz, Carolina Tomiyoshi, Felipe M. Nóvak, Artur F. Fernandes, Laura N. Zamproni, Élcio J. Piovesan, Edison M. Nóvak, Helio A.G. Teive, Lineu C. Werneck
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2011-04-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000200014&lng=en&tlng=en
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author Marcos C. Lange
Vera L. Braatz
Carolina Tomiyoshi
Felipe M. Nóvak
Artur F. Fernandes
Laura N. Zamproni
Élcio J. Piovesan
Edison M. Nóvak
Helio A.G. Teive
Lineu C. Werneck
author_facet Marcos C. Lange
Vera L. Braatz
Carolina Tomiyoshi
Felipe M. Nóvak
Artur F. Fernandes
Laura N. Zamproni
Élcio J. Piovesan
Edison M. Nóvak
Helio A.G. Teive
Lineu C. Werneck
author_sort Marcos C. Lange
collection DOAJ
description 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. METHOD: 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. CONCLUSION: 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.
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spelling doaj.art-d29ce428a6a14bdca20abcced6843d152022-12-22T03:23:48ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272011-04-01692a21221610.1590/S0004-282X2011000200014S0004-282X2011000200014Neurological diagnoses in the emergency room: differences between younger and older patientsMarcos C. Lange0Vera L. Braatz1Carolina Tomiyoshi2Felipe M. Nóvak3Artur F. Fernandes4Laura N. Zamproni5Élcio J. Piovesan6Edison M. Nóvak7Helio A.G. Teive8Lineu C. Werneck9Universidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáNeurological 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. METHOD: 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. CONCLUSION: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000200014&lng=en&tlng=endoença do sistema nervosoAVCcefaléiaconvulsõesserviço médico de emergênciaepidemiologia em serviços de saúde
spellingShingle Marcos C. Lange
Vera L. Braatz
Carolina Tomiyoshi
Felipe M. Nóvak
Artur F. Fernandes
Laura N. Zamproni
Élcio J. Piovesan
Edison M. Nóvak
Helio A.G. Teive
Lineu C. Werneck
Neurological diagnoses in the emergency room: differences between younger and older patients
Arquivos de Neuro-Psiquiatria
doença do sistema nervoso
AVC
cefaléia
convulsões
serviço médico de emergência
epidemiologia em serviços de saúde
title Neurological diagnoses in the emergency room: differences between younger and older patients
title_full Neurological diagnoses in the emergency room: differences between younger and older patients
title_fullStr Neurological diagnoses in the emergency room: differences between younger and older patients
title_full_unstemmed Neurological diagnoses in the emergency room: differences between younger and older patients
title_short Neurological diagnoses in the emergency room: differences between younger and older patients
title_sort neurological diagnoses in the emergency room differences between younger and older patients
topic doença do sistema nervoso
AVC
cefaléia
convulsões
serviço médico de emergência
epidemiologia em serviços de saúde
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000200014&lng=en&tlng=en
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