What question did this study set out to answer?

To prospectively determine the diagnostic accuracy and clinical reliability of bedside examinations in differentiating types of acute cerebrovascular disease.

May 1, 1981StrokeOpen Access

Accuracy of bedside diagnosis in stroke.

View Full Paper

Ask AI

Bookmark

Authors

MAMagnus von ArbinKarolinska Institutet MBM BrittonSt Thomas' Hospital UFUlf dé FairéPreventive Cardiology

Discussion

Member takes

Implication

Prospective cohort study reveals 69% bedside diagnostic accuracy in acute stroke patients, highlighting low sensitivity for detecting cerebral hemorrhages compared to infarctions.

Key Points

To prospectively determine the diagnostic accuracy and clinical reliability of bedside examinations in differentiating types of acute cerebrovascular disease.
Prospective evaluation of 206 consecutive patients admitted to a specialized stroke unit in Stockholm.
Bedside clinical diagnoses were stratified by diagnostic certainty ('fairly certain' vs. 'probable') and compared against final hospital diagnoses.
Bedside clinical diagnosis was accurate in 69% of patients, required alteration following hospital investigation in 24%, and remained undetermined in 7%.
Accuracy was 87% when preliminary diagnoses were considered 'fairly certain', compared to 53% when regarded as only 'probable'.
Bedside diagnostic sensitivity was 83% for identifying cerebral infarctions, but only 39% for identifying hemorrhages.

Cite This Study

Arbin et al. (1981) studied this question.

synapsesocial.com/papers/6a11e3dcb08ebdaba18e08f2 https://doi.org/10.1161/01.str.12.3.288

View Full Paper

Ask AI

Bookmark

May 1, 1981StrokeOpen Access

Accuracy of bedside diagnosis in stroke.

View Full Paper

Ask AI

Bookmark

Authors

MAMagnus von ArbinKarolinska Institutet MBM BrittonSt Thomas' Hospital UFUlf dé FairéPreventive Cardiology

Discussion

Member takes

Implication

Prospective cohort study reveals 69% bedside diagnostic accuracy in acute stroke patients, highlighting low sensitivity for detecting cerebral hemorrhages compared to infarctions.

Key Points

To prospectively determine the diagnostic accuracy and clinical reliability of bedside examinations in differentiating types of acute cerebrovascular disease.
Prospective evaluation of 206 consecutive patients admitted to a specialized stroke unit in Stockholm.
Bedside clinical diagnoses were stratified by diagnostic certainty ('fairly certain' vs. 'probable') and compared against final hospital diagnoses.
Bedside clinical diagnosis was accurate in 69% of patients, required alteration following hospital investigation in 24%, and remained undetermined in 7%.
Accuracy was 87% when preliminary diagnoses were considered 'fairly certain', compared to 53% when regarded as only 'probable'.
Bedside diagnostic sensitivity was 83% for identifying cerebral infarctions, but only 39% for identifying hemorrhages.

Cite This Study

Arbin et al. (1981) studied this question.

synapsesocial.com/papers/6a11e3dcb08ebdaba18e08f2 https://doi.org/10.1161/01.str.12.3.288

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

View Full Paper

Ask AI

Bookmark