Evaluation of Pre-hospital Stroke Diagnosis Agreement with Emergency Diagnosis

Abstract

Aim: Many acute disorders, such as hypoglycemia, migraine, seizures, and others, can mirror stroke symptoms and are referred to as stroke mimics. The goal of this study was to determine the number of patients brought to the emergency department by the pre-hospital system with a possible stroke, as well as the accuracy of diagnosis and placement in the SAMA code to determine the genuine diagnosis of stroke and its separation. Materials and Methods: In this cross-sectional observational study, 150 patients who were referred to the emergency department for a period of 1 year with a complaint of acute stroke by the pre-hospital emergency department were examined for the accuracy of diagnosis and placement in the SAMA code. Results: There was a weak correlation between thrombolytic administration and diagnosis when looking at the probable correlation between the data. The major complaint of the patient and the final diagnosis at the emergency department have a considerable relationship; however, it is a weak relationship. kappa is equivalent to 0.043 when assessing the coefficient of agreement between the patient’s history and the final diagnosis given in the emergency department. Conclusion: Pre-hospital emergency staff have a terrible track record when it comes to assess patients who are at risk of a stroke. This team is not very excellent at identifying people who require thrombolytic therapy. Personnel changes have little bearing on personnel decisions or diagnosis, which are affected by disease. Patients with thrombolytics are evaluated, diagnosed, and treated regardless of their age or gender.