Predictors of neurologists confirming or overturning emergency physicians' diagnosis of TIA or stroke.
Miguel A Cortel-LeBlancMukul SharmaAchelle Cortel-LeBlancMarco L A SivilottiMarcel ÉmondIan G StiellGrant StottsJacques LeeAndrew WorsterJudy MorrisKa Wai CheungAlbert Y JinWieslaw J OczkowskiDemetrios J SahlasHeather E MurrayAriane MackeySteve VerreaultMarie-Christine CamdenSamuel YipPhilip TealDavid J GladstoneMark I BoulosNicolas ChagnonElizabeth ShouldiceClare AtzemaTarik SlaouiJeanne TeitelbaumKasim E AbdulazizGeorge A WellsMonica TaljaardJeffery J PerryPublished in: CJEM (2021)
Physicians should have a high index of suspicion of cerebral ischemia in patients with advanced age, smoking history, language disturbance, or infarcts on CT. Physicians should discriminate in which patients to pursue stroke investigations on when deemed at minimal risk of cerebral ischemia, including those with isolated vertigo, syncope, or bilateral symptoms.
Keyphrases
- cerebral ischemia
- subarachnoid hemorrhage
- primary care
- blood brain barrier
- brain injury
- end stage renal disease
- newly diagnosed
- ejection fraction
- emergency department
- atrial fibrillation
- computed tomography
- peritoneal dialysis
- autism spectrum disorder
- smoking cessation
- image quality
- pulmonary embolism
- magnetic resonance
- contrast enhanced
- depressive symptoms
- positron emission tomography
- sleep quality
- dual energy
- emergency medical