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Stroke Research and Treatment
Volume 2016, Article ID 4393127, 6 pages
Research Article

Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits

1Department of Neurology, University of Missouri, Columbia, 5 Hospital Drive, CE 540, Columbia, MO 65211, USA
2Department of Emergency Medicine, University of Missouri, Columbia, Columbia, MO, USA
3Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USA
4Akron General Hospital, 3562 Ridge Park Dr, Akron, OH 44333, USA

Received 28 July 2016; Accepted 13 November 2016

Academic Editor: Tauheed Ishrat

Copyright © 2016 P. Natteru et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Strokes and stroke-mimics have been extensively studied in the emergency department setting. Although in-hospital strokes are less studied in comparison to strokes in the emergency department, they are a source of significant direct and indirect costs. Differentiating in-hospital strokes from stroke-mimics is important. Thus, our study aimed to identify variables that can differentiate in-hospital strokes from stroke-mimics. Methods. We present here a retrospective analysis of 93 patients over a one-year period (2009 to 2010), who were evaluated for a concern of in-hospital strokes. Results. About two-thirds (57) of these patients were determined to have a stroke, and the remaining (36) were stroke-mimics. Patients with in-hospital strokes were more likely to be obese (), have been admitted to the cardiology service (), have atrial fibrillation (), have a weak hand or hemiparesis (), and have a prior history of stroke (), whereas, when the consults were called for “altered mental status” but no other deficits (), it is likely a stroke-mimic. Conclusion. This study demonstrates that in-hospital strokes are a common occurrence, and knowing the variables can aid in their timely diagnosis and treatment.