A Retrospective Cohort Study on the Use of Intravenous Thrombolysis in Stroke Mimics

Stroke care is an emergency situation that can be challenging to deal with. Providing a patient with IV thrombolysis for a misdiagnosed stroke or stroke mimic can cause actual thrombolysis. This of course will increase the risks of adverse events following drug administration. The study here looked at the population of stroke patients versus the population of stroke mimic patients. In terms of patient population it was determined that there is a distinct difference between the two. The stroke mimic cohort had a younger mean age of 59.9 years while the stroke cohort mean age was 73.7 years. All clinical diagnoses of the cohorts were confirmed by expert consensus after imaging review and various other factors. The study concluded that even though there are striking similarities in clinical presentation of the two events the stroke mimic cohort consists of a different population. This cohort was also associated with fewer adverse effects.

This article goes to show that staying up to date on the current literature is essential for healthcare providers. While there is increasing education and information available regarding stroke it is important to avoid misdiagnosing a patient. Physiological factors and other patient history information should always be taken into consideration when making the decision to give a patient a certain drug based on diagnosis. It’s important to consider all options while still providing care in a timely manner. Other than completing this assignment for class that allows us to look at the most recent literature, what are some other strategies to staying relevant in the field?

Prasanthi S, Dipender G, Gheed M, et al. A Retrospective Cohort Study on the Use of Intravenous Thrombolysis in Stroke Mimics. J Stroke Cerebrovasc Dis. 2015.


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