ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2013
Predictors of acute stroke mimics in 8187 patients referred to a stroke service.
Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06045455 (The Importance of Multimodal CT Examination in Stroke Mimics Diagnosis), which is not on this map. Cited by 68 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Importance of Multimodal CT Examination in Stroke Mimics Diagnosis: a Prospective Observational Multicenter Study
Who cites it
68 citing papers in PubMed, 179 citations in OpenAlex.
- Randomised, controlled Trial of CT perfusion and angiography compared to CT alone in thrombolysis-eligible acute ischaemic stroke patients: The penumbra and recanalisation acute computed tomography in ischaemic stroke evaluation (PRACTISE) trial.European stroke journal · 2026Trial
- Stroke mimic caused by severe hypomagnesemia: a case report and literature review.Journal of neurology · 2026Review
- Diagnostic performance of prehospital large-vessel occlusion detection scales in patients with suspected acute stroke: a retrospective validation study. The Akershus Study of Ischemic Stroke and Thrombolysis.European stroke journal · 2026Observational
- Article
- Sex differences in baseline characteristics, stroke care, and outcomes across socioeconomic settings: a multicentre study from Switzerland, Poland, and Ukraine.Journal of neurology · 2026Observational
- CT perfusion in the acute setting: a useful tool in the differential diagnosis of aphasic syndromes.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Observational
- Natural Language Processing to Automate Cerebrovascular Event Identification in Stroke Alerts.Stroke (Hoboken, N.J.) · 2025Article
- Randomised, controlled Trial of CT perfusion and angiography compared to CT alone in thrombolysis-eligible acute ischaemic stroke patients: The penumbra and recanalisation acute computed tomography in ischaemic stroke evaluation (PRACTISE) trial.European stroke journal · 2025Article
- The Incidence of Stroke Mimics in the Emergency Department of a Tertiary-care Center in Lebanon.The western journal of emergency medicine · 2025Article
- Comparison of access to stroke diagnostics, treatment, rehabilitation, and outcome between men and women.Global epidemiology · 2025Article
- Imaging of Status Epilepticus.Journal of clinical medicine · 2025Review
- Sex differences in age-associated neurological diseases-A roadmap for reliable and high-yield research.Science advances · 2025Review
- Observational
- Accuracy of Conversion Disorder Diagnosis via Telestroke Network Consultation: A Retrospective Cohort Study.Ochsner journal · 2025Article
- Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review.International journal of emergency medicine · 2024Review
- Prospective Validation of Glial Fibrillary Acidic Protein, d-Dimer, and Clinical Scales for Acute Large-Vessel Occlusion Ischemic Stroke Detection.Stroke (Hoboken, N.J.) · 2024Article
- Telephone triage and dispatch of ambulances to patients with suspected and verified acute stroke - a descriptive study.BMC emergency medicine · 2024Article
- The importance of multimodal CT examination in stroke mimics diagnosis: design of prospective observational multicentre study.Frontiers in neurology · 2024Article
- Frequency and Characteristics of Non-Neurological and Neurological Stroke Mimics in the Emergency Department.Journal of clinical medicine · 2023Article
- Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundSome patients seen by a stroke team do not have cerebrovascular disease but a condition that mimics stroke. The purpose of this study was to determine the rate and predictors of stroke mimics in a large sample.
methodsThis is an analysis of data from consecutive patients seen by the National Institutes of Health Stroke Program over 10 years. Data were collected prospectively as a quality improvement initiative. Patients with a cerebrovascular event or a stroke mimic were compared with the Student t or Pearson chi-square test as appropriate, and logistic regression was done to identify independent predictors.
resultsThe analysis included 8187 patients: 30% had a stroke mimic. Patients with a stroke mimic were younger, and the proportion of patients with a stroke mimic was higher among women, patients without any risk factors, those seen as a code stroke or who arrived to the emergency department via personal vehicle, and those who had the onset of symptoms while inpatients. The proportion of patients with a stroke mimic was marginally higher among African-Americans than Caucasians. Factors associated with the greatest odds of having a stroke mimic in the logistic regression were lack of a history of hypertension, atrial fibrillation or hyperlipidemia.
conclusionsOne third of the patients seen by a stroke team over 10 years had a stroke mimic. Factors associated with a stroke mimic may be ascertained by an emergency physician before calling the stroke team.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.