Document Detail


Is it important to classify ischaemic stroke?
MedLine Citation:
PMID:  22455241     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Thirty-five percent of all ischemic events remain classified as cryptogenic. This study was conducted to ascertain the accuracy of diagnosis of ischaemic stroke based on information given in the medical notes. It was tested by applying the clinical information to the (TOAST) criteria. Hundred and five patients presented with acute stroke between Jan-Jun 2007. Data was collected on 90 patients. Male to female ratio was 39:51 with age range of 47-93 years. Sixty (67%) patients had total/partial anterior circulation stroke; 5 (5.6%) had a lacunar stroke and in 25 (28%) the mechanism of stroke could not be identified. Four (4.4%) patients with small vessel disease were anticoagulated; 5 (5.6%) with atrial fibrillation received antiplatelet therapy and 2 (2.2%) patients with atrial fibrillation underwent CEA. This study revealed deficiencies in the clinical assessment of patients and treatment was not tailored to the mechanism of stroke in some patients.
Authors:
M Iqbal; S Bilal; S Sarwar; T Counihan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Irish medical journal     Volume:  105     ISSN:  0332-3102     ISO Abbreviation:  Ir Med J     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-03-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0430275     Medline TA:  Ir Med J     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  52-4     Citation Subset:  IM    
Affiliation:
University College Hospital, Newcastle Rd, Galway. mudassir213@hotmail.com
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