Misdiagnosis of Cerebral Vein Thrombosis in the Emergency Department.

ABSTRACT:

Background and purpose

Rates of cerebral venous thrombosis (CVT) misdiagnosis in the emergency department and outcomes associated with misdiagnosis have been underexplored.

Methods

Using administrative data, we identified adults with CVT at New York, California, and Florida hospitals from 2005 to 2013. Our primary outcome was probable misdiagnosis of CVT, defined as a treat-and-release emergency department visit for headache or seizure within 14 days before CVT. In addition, logistic regression was used to compare rates of clinical outcomes in patients with and without probable CVT misdiagnosis. We performed a confirmatory study at 2 tertiary care centers.

Results

We identified 5966 patients with CVT in whom 216 (3.6%; 95% confidence interval [CI], 1.1%-4.1%) had a pr

SUBMITTER: Liberman AL 

PROVIDER: S-EPMC5970977 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature