ArticleClinical medicine (London, England)2016
Stroke mimic diagnoses presenting to a hyperacute stroke unit.
Article in Clinical medicine (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 44 citations in OpenAlex.
- Intravenous tissue plasminogen activator in functional stroke mimics.Postepy psychiatrii neurologii · 2025Review
- Is this a stroke? The profile of patients with suspected acute cerebrovascular accident transferred by ambulance to the Neurology Emergency Department.Postepy psychiatrii neurologii · 2024Article
- A Stroke Mimic With Postictal Todd's Paresis and a Simplified Guide to Management of Acute Hyponatremia.Cureus · 2023Article
- Optimising acute stroke pathways through flexible use of bed capacity: a computer modelling study.BMC health services research · 2022Article
- National implementation of reperfusion for acute ischaemic stroke in England: How should services be configured? A modelling study.European stroke journal · 2022Article
- Acute Onset Focal Epilepsy Mimicking Stroke.Cureus · 2021Article
- Differences in Characteristics and Ambulance Pathway Adherence Between Strokes and Mimics Presenting to a Large UK Centralized Hyper Acute Stroke Unit (HASU).Frontiers in neurology · 2021Article
- Addition of arterial spin-labelled MR perfusion to conventional brain MRI: clinical experience in a retrospective cohort study.BMJ open · 2020Article
- Prevalence of acute neurology: a 2-week snapshot in a district general hospital.Clinical medicine (London, England) · 2020Article
- Article
- Maximising access to thrombectomy services for stroke in England: A modelling study.European stroke journal · 2019Article
- Hyperacute neurology at a regional neurosciences centre: a 1-year experience of an innovative service model.Clinical medicine (London, England) · 2019Article
- Feasibility of a hyper-acute stroke unit model of care across England: a modelling analysis.BMJ open · 2017Article
- Stroke mimic diagnoses presenting to a hyperacute stroke unit.Clinical medicine (London, England) · 2017Article
- Stroke mimic diagnoses presenting to a hyperacute stroke unit.Clinical medicine (London, England) · 2017Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Stroke services have been centralised in several countries in recent years. Diagnosing acute stroke is challenging and a high proportion of patients admitted to stroke units are diagnosed as a non-stroke condition (stroke mimics). This study aims to describe the stroke mimic patient group, including their impact on stroke services. We analysed routine clinical data from 2,305 consecutive admissions to a stroke unit at St George's Hospital, London. Mimic groupings were derived from 335 individual codes into 17 groupings. From 2,305 admissions, 555 stroke mimic diagnoses were identified (24.2%) and 72% of stroke mimics had at least one stroke risk factor. Common mimic diagnoses were headache, seizure and syncope. Medically unexplained symptoms and decompensation of underlying conditions were also common. Median length of stay was 1 day; a diagnosis of dementia (p=0.028) or needing MRI (p=0.006) was associated with a longer stay. Despite emergency department assessment by specialist clinicians and computed tomography brain, one in four suspected stroke patients admitted to hospital had a non-stroke diagnosis. Stroke mimics represent a heterogeneous patient group with significant impacts on stroke services. Co-location of stroke and acute neurology services may offer advantages where service reorganisation is being considered.
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