Lange Marcos C, Braatz Vera L, Tomiyoshi Carolina, Nóvak Felipe M, Fernandes Artur F, Zamproni Laura N, Piovesan Elcio J, Nóvak Edison M, Teive Helio A G, Werneck Lineu C
Neurology Division, Internal Medicine Department, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Arq Neuropsiquiatr. 2011 Apr;69(2A):212-6. doi: 10.1590/s0004-282x2011000200014.
Neurological diseases are prevalent in the emergency room (ER). The aim of this study was to compare the neurological diagnoses between younger and older patients evaluated in the ER of a tertiary care hospital.
Patients admitted to the ER who required neurological evaluation in the first 24 hours were separated into two groups based on age, ≤50 years old and >50 years old.
Cerebrovascular disease (59.6% vs. 21.8%, p<0.01) was most frequent in the >50 years old group. Seizures (8.1% vs. 18.6%, p<0.01) and primary headache (3.7% vs. 11.4%, p<0.01) were most frequent in the ≤50 years old group.
The current study demonstrated that these three neurological diagnoses represented the majority of the neurological evaluations in the ER. National guidelines for ER teams that treat these prevalent disorders must be included in clinical practice and training.
神经系统疾病在急诊室很常见。本研究的目的是比较在三级医院急诊室接受评估的年轻患者和老年患者之间的神经系统诊断。
在急诊室就诊且在最初24小时内需要进行神经系统评估的患者，根据年龄分为两组，≤50岁和>50岁。
脑血管疾病在>50岁组中最为常见（59.6%对21.8%，p<0.01）。癫痫（8.1%对18.6%，p<0.01）和原发性头痛（3.7%对11.4%，p<0.01）在≤50岁组中最为常见。
本研究表明，这三种神经系统诊断占急诊室神经系统评估的大多数。治疗这些常见疾病的急诊团队的国家指南必须纳入临床实践和培训。
