PMID: 11328195May 1, 2001Paper

Education of referring doctors about sudden onset headache in subarachnoid hemorrhage. A prospective study

Acta Neurologica Scandinavica
S FridrikssonJ Boive

Abstract

Forty percent of patients with aneurysmal subarachnoid hemorrhage have prodromal warning episodes and difficulties in identifying these events are repeatedly documented. Modifications of diagnostic and referral patterns through educational programs of local doctors may help to identify such patients before a major devastating rupture occurs. A teaching program about sudden onset headache, targeting referring doctors, was systematically applied and its impact on early misdiagnosis of ruptured aneurysms was prospectively studied. Forty percent of all studied patients experienced a warning episode, manifested as apoplectic headache, prior to hospitalization. An initial diagnostic error was evident in 12% of the patients. Diagnostic errors were reduced by 77% as a result of continuous interaction between neurosurgeons and local physicians. Misdiagnosed warning episodes cause greater loss of lives and higher morbidity on a population basis than does delayed ischemic complications from vasospasm in aneurysmal SAH. Teaching programs focused on local physicians have a profound impact on outcome at low cost.

Citations

Nov 3, 2011·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Georg RoylChristoph Leithner
Feb 28, 2007·Current Neurology and Neuroscience Reports·Manjit S MatharuDavid W Dodick
Jan 27, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Thomas H Glick
Dec 17, 2011·The Journal of Trauma·Jane Topolovec-VranicAndrew J Baker
Feb 2, 2013·Surgical Neurology International·Júlio Leonardo Barbosa PereiraAtos Alves de Sousa
Sep 8, 2012·The European Journal of General Practice·Femke Visser, Gabriel J E Rinkel
May 19, 2009·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Jonathan A EdlowWyatt W Decker
Dec 25, 2007·The Journal of Emergency Medicine·Jonathan A EdlowChristopher S Ogilvy
Mar 12, 2004·Headache·Marcelo M ValençaJosé G Speciali
Jul 18, 2015·AJNR. American Journal of Neuroradiology·H JoswigM N Stienen
Feb 27, 2004·Cephalalgia : an International Journal of Headache·A Polmear
May 28, 2019·Current Pain and Headache Reports·Oyindamola Ikepo Ogunlaja, Robert Cowan
Sep 1, 2019·BMC Medical Informatics and Decision Making·Julie Abimanyi-OchomJennifer J Watts

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.