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BET 2: Missed diagnosis of ischaemic stroke in the emergency department
  1. Alisha Shake,
  2. Adam Oostema,
  3. Jeffrey Jones
  1. Emergency Medicine Residency Program, Spectrum Health/Michigan State University, East Lansing, Michigan, USA
  1. Correspondence to Alisha Shake; Kevin.C.Mackway-Jones{at}


A short cut review was carried out to establish the rate and clinical characteristics of missed diagnosis of acute ischaemic stroke in the emergency department (ED). Two papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are shown in table 1. It is concluded that acute ischaemic stroke is missed in approximately 9%–14% of patients with this diagnosis who present to the ED. This is especially true in patients presenting with non-specific complaints such as dizziness, nausea/vomiting or altered level of consciousness.

  • emergency care systems

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.