Navigation Links
ER Less Likely to Diagnose Stroke in Younger Folks
Date:2/18/2009

New research finds misdiagnosis risk goes up as age goes down

WEDNESDAY, Feb. 18 (HealthDay News) -- An 18-year-old boy complaining of numbness at a Detroit emergency room was discharged after health-care professionals determined he was drunk.

A 24-year-old woman with sharp pain in her left eye and loss of feeling in her right arm was told by ER doctors that she had a migraine.

And a 29-year-old man with slurred speech, a facial droop and vertigo was diagnosed with peripheral vertigo during his emergency room visit.

In fact, each one of these younger adults had had a stroke, which went undetected because of their age, according to new research to be presented Wednesday at the American Stroke Association's International Stroke Conference in San Diego.

The research, looking at ER visits by people under 50, found that the risk of misdiagnosis of a stroke increases as patient age goes down.

"Emergency room personnel need to have a heightened sensitivity to the possibility of stroke in people . . . under 45," said senior study author Dr. Seemant Chaturvedi, director of the stroke program at Wayne State University in Detroit. "There needs to be a solid familiarity with the combination of symptoms that would indicate stroke rather than something more benign."

"Identifying what we consider to be an 'old person's disease' in young people is always a challenge because there's denial on the part of patients and denial on the part of caregivers," added Dr. Robert Greenberg, an assistant professor of emergency medicine at Texas A&M Health Science Center College of Medicine and vice chair of emergency medicine with Scott & White in Temple. "Everybody should be given a stroke assessment. If you see someone who comes in with dizziness and trouble walking, it should cross your mind."

Stroke is the third leading cause of death in the United States. Failure to identify and treat a stroke quickly can lead to severe disability, and even loss of life.

The study authors looked at 57 people under the age of 50 who went to a Detroit emergency room with various symptoms. The participants were equally divided in gender, and their median age was 34.

All but one of the patients had had a stroke. But eight patients, or 14 percent of the total, were misdiagnosed by hospital staff.

"Those under the age of 35 were misdiagnosed one-third of the time," Chaturvedi added. And strokes occurring in the back of the brain were more often misdiagnosed, possibly because symptoms were varied.

But such mistakes may be all too easy to make, Greenberg pointed out.

"These [cases] are all unusual, because you don't [often] see stroke in young patients," he said. "The truth is, distinguishing symptoms such as vertigo or inner ear disorders and [stroke] is pretty difficult for anybody."

"One premise in medicine and society that we all ignore a lot is that age doesn't protect you from illness," Greenberg added. "Anybody of any age can get just about anything, [but] the likelihood of this occurring in a young person is way less. The challenge is to be able to identify atypical presentations of a common disease or common presentations of an unusual disease."

A second study to be presented at the conference found that pharmacies don't regularly recommend that callers with stroke symptoms call 9-1-1.

For their findings, researchers at West Virginia University in Morgantown surveyed 71 pharmacies and found that only one out of every five people who answered the store's phones recommended that potential stroke victims call emergency medical services.

Stroke patients who get to the hospital via EMS get there faster and are more likely to get clot-busting treatment, the study authors pointed out.

Stroke experts say that people of all ages should rush to the hospital if they have any of these symptoms: numbness or weakness of the face, arm or leg, particularly if it only occurs on one side of the body; confusion and trouble speaking; problems with vision; dizziness or loss of balance, or sudden headache.

More information

The American Heart Association has more on stroke warning signs.



SOURCES: Seemant Chaturvedi, M.D., professor, neurology, and director, stroke program, Wayne State University, Detroit; Robert Greenberg, M.D., assistant professor, emergency medicine, Texas A&M Health Science Center College of Medicine, and vice chair, emergency medicine, Scott & White, Temple; Feb. 18, 2009, presentation, International Stroke Conference, San Diego


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Minorities more likely to have sleep durations associated with increased mortality
2. Scientists ID Likely Culprit in Popcorn Lung
3. Pop stars more than twice as likely to die an early death
4. Smokers More Likely to Develop Dementia
5. Women less likely than men to change habits that increase heart disease risk
6. Finasteride unlikely to induce high grade prostate cancers
7. Children in affluent countries more likely to develop allergy-related asthma
8. New study likely to fuel debate over annual physical exams
9. Victims of child maltreatment more likely to perpetrate youth violence, intimate partner violence
10. Kids Vaccine Ingredient Not Likely Linked to Neurological Problems
11. C-diff infection 4 times more likely to kill patients with inflammatory bowel disease
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
ER Less Likely to Diagnose Stroke in Younger Folks
(Date:4/29/2016)... ... April 29, 2016 , ... Dr. ... of best seller "LOVE, MEDICINE and MIRACLES") addresses touchy topics related to Death ... podcasted thereafter . Dr. Bernie Siegel, author of a plethora of essential ...
(Date:4/29/2016)... ... April 29, 2016 , ... Spine Team Texas, a comprehensive spine ... announce one of their physicians has been invited to be a featured speaker at ... Practice Review conference on April 30, 2016. , Dr. R. Scott McPherson, a ...
(Date:4/29/2016)... ... 29, 2016 , ... Melanoma is the deadliest type of skin cancer. Although only about 1 ... skin cancer deaths. More than 10,000 people are expected to die of melanoma this year. ... is the one of the most commonly diagnosed cancers in young women. A recent breakthrough ...
(Date:4/29/2016)... ... 29, 2016 , ... Jvion, the market leader in clinical ... Eastside Partners, with participation from existing investor Martin Ventures. The funds will ... technology and product roadmap. , “Jvion is experiencing significant growth and ...
(Date:4/29/2016)... (PRWEB) , ... April 29, 2016 , ... Nike Softball ... softball camp from July 24th – 27th for girls aged 10-18. All facets of ... held at the beautiful Clark V. Whited Complex, one of the finest softball facilities ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... 28, 2016 Research and Markets ... Surgery Products Market 2016-2020" report to their offering. ... The global plastic surgery products market is ... the period 2016-2020. , ,The growing adoption of laser ... growth of the market. Lasers are used to treat ...
(Date:4/28/2016)... , April 28, 2016 ... , George Phillips und ... Unternehmens    ArisGlobal®, ein führender ... Sciences, gab heute bekannt, dass neue Führungskräfte ... Unternehmens gestoßen sind, die vielfältige Erfahrungen mitbringen. ...
(Date:4/28/2016)... -- Treato , the single largest ... that it has been named a Cool Vendor by ... Sciences, 2016, Stephen Davies , Michael ... life-science- oriented analytics, algorithms and smart machine technology in ... medication ingestion, and analyze unstructured information.   ...
Breaking Medicine Technology: