Stroke: Analysis of the misdiagnosis of the head and neck artery mezzanine in the emergency

The head and neck artery mezzanine is one of the important causes of strokeThe clinical manifestations of the mezzanine may be similar to benign neurological diseases, with misdiagnosis or missed diagnosisrecently published a research paper in the journal Cardiovascular Disease, the researchers conducted a retrospective cohort study using administrative claim data from all non-federal hospital emergency departments in Florida and 2006-2015 in Florida and 2006-2015 in New York, and used a validated ninth edition of the International Classification of Disease CM code to identify adult patients hospitalized for the cervical artery mezzanineThe researchers defined possible mezzanine misdiagnosis as emergency treatment and discharge within 14 days prior to diagnosis due to the symptoms or signs of the mezzanine, including headache, neck pain, and lesions of neural dysfunctionThe researchers used a multivariate Logistic regression to compare adverse clinical outcomes in patients who were less likely to be misdiagnosedin 7,090 patients diagnosed as mezzanine (average age 52.7 years, female 44.9%), 218 cases (3.1% (95% CI 2.7%-3.5%)) had a possible emergency misdiagnosisAfter adjusting for demographic sage and vascular risk factors, there was no significant difference between the incidence of stroke (0.82 (95% CI is 0.62-1.09) and the hospitalization mortality rate (0.26 per cent ci 0.07-1.08) in mezzanine patients with or without chance of misdiagnosisthus shows that about 1 in 30 mezzanine patients were misdiagnosed within 2 weeks of diagnosis