Background Early management improves outcome in acute stroke. This study was designed to assess the prehospital path from symptom onset arrival hospital and identify factors associated with delay. Methods A prospective conducted including patients ischaemic stroke, intracerebral haemorrhage transient attack admitted hospital. Time intervals for delay, background data, severity, type of first medical contact mode transport were recorded. Univariate multivariate analyses performed influencing...

Background and Purpose: There are conflicting figures of the incidence cerebral venous thrombosis (CVT). The was previously estimated to around 0.5/100 000/y, but more recent studies have suggested 1 1.5/100 000/y. purpose this study explore mortality CVT in a Norwegian population. Methods: A retrospective cross-sectional hospital population-based conducted at Akershus University Hospital serving roughly 10% total Patients were identified through chart reviews based on relevant International...

Abstract Objective The COVID‐19 pandemic has led to rapid changes in the delivery of medical care worldwide. main objective this survey was investigate initial experiences neurologists with use telemedicine for different neurological conditions during first phase COVID‐19. Methods All hospital‐based Norway ( n = 400) were invited a questionnaire by e‐mail April 2020. study focused on and all questions answered regard weeks lockdown Norway. Results One‐hundred thirty‐five responded. Overall,...

A proportion of patients with acute ischemic stroke have elevated cardiac troponin levels and ECG changes suggestive injury, but the etiology is unclear. The aims this study were to assess frequency high sensitivity T (hs-cTnT) elevation, identify determinants associated hs-cTnT myocardial ischemia impact elevation on in-hospital mortality.Patients discharged a diagnosis during 1-year period, included. Patients diagnosed infarction (MI) within last 7 days before admission or hospitalization...

Public campaigns focus primarily on stroke symptom and risk factor knowledge, but patients who correctly recognize symptoms do not necessarily know the reason for urgent hospitalization. The aim of this study was to explore knowledge factors, treatment options among acute transient ischemic attack patients.This prospective included admitted unit at Department Neurology, Akershus University Hospital, Norway. Patients with previous cerebrovascular disease, receiving thrombolytic were able...

Emergency department (ED) crowding and prolonged length of stay (LOS) are associated with delays in treatment, adverse outcomes decreased patient satisfaction. Hospital restructuring mergers often increased ED crowding. The aim this study was to explore LOS Norway's largest before after an catchment area. area Akershus University by approximately 150,000 inhabitants 2011, from 340,000 490,000. In retrospective study, admissions the during a six-year period, Jan 1st 2010 Dec 31st 2015 were...

Abstract Background The Covid-19 pandemic is causing changes in delivery of medical care worldwide. It not known how the management headache patients was affected by lockdown during pandemic. aim present study to investigate initial phase hospital Denmark and Norway. Methods All neurological departments ( n = 14) Norway 18) were invited a questionnaire survey. focused on all questions answered regard period between March 12th April 15th, 2020. Results responder rate 91% (29/32). Of 86%...

Non-attendance and late arrivals diminish patient flow in outpatient clinics. On the other hand, earliness may also be undesirable. Physicians often experience that older patients are more punctual than younger patients, they come excessively early. The aim of this study was to determine whether an association between age clinic arrival time could established or not, i.e. find out if it is a myth reality. Prospective descriptive performed at neurological clinic. Data were collected from all...

Abstract Background Stroke incidence rates have fallen in high-income countries over the last several decades, but findings regarding trend recent years been mixed. The aim of study was to describe and model temporal trends stroke by age sex between 2010 2015 Norway, generate projections towards year 2040. Methods All recorded strokes Norway were extracted from National Patient Registry Cause Death Registry. We report age, sex, year; raw numbers, per 100,000 person-years, WHO European...

Abstract Background There was a significant decrease in stroke admissions during the first phase of COVID-19 pandemic. are concerns that patients have not sought medical attention and months after lockdown suffer recurrent severe strokes. The aims this study were to investigate how admission rates distributions severity varied before, representative Norwegian hospital population. Methods All discharged from Akershus University Hospital with diagnosis transient ischemic attack (TIA) or acute...

BAKGRUNN Pasienter med akutt hjerneslag behandles ikke ofte nok trombolyse på grunn av et begrenset tidsvindu og prehospital forsinkelse. Hensikten denne studien er å beskrive det prehospitale forløpet for disse pasientene, spesielt hva som skiller pasientene kontakter akuttmedisinsk kommunikasjonssentral (AMK) sammenlignet pasienter fastlege legevakt. MATERIALE OG METODE hjerneinfarkt intracerebral blødning innlagt ved Seksjon hjerneslag, Nevroklinikken, Akershus universitetssykehus, ble...

In Norway, as in most other countries, the training program for clinical neurology has no mandatory headache program. Knowledge management must therefore be acquired during everyday training. The objectives of this study were to investigate residents' knowledge headache.A questionnaire survey was undertaken among residents Norway.All 17 neurological departments Norway participated, and 143 responded (86%). Sixty percent women, mean age 32.5 years, respondents had an average 28 months...

While there is a general agreement that stroke incidence among the elderly declining in developed world, concern it may be increasing young. The present study investigates this issue for Norwegian population years 2010–2015. Cerebrovascular accidents (CVAs) patients younger than 55 were identified through Patient Registry and Cause-of-death Registry. Negative binomial regression modelling was used to estimate temporal trends CVA rates young, aged 15–54, with 10-year sub-intervals, children...

Background Neurology has increasing subspecialization. Some disorders, such as cerebrovascular diseases, dementia and headache, are highly prevalent in the general population, while others, movement disorders multiple sclerosis, rarer. Thus, there may be a mismatch between neurologists' interests population needs. Aims of Study To investigate perceived prestige neurological among residents neurology. Methods The study was conducted questionnaire survey neurology Norway. Results All 17...

Abstract Background Acute headache may be the primary symptom of subarachnoid hemorrhage (SAH). Recent guidelines suggest that non‐contrast computed tomography (CT) is adequate to exclude aneurysmal SAH if performed within 6 h after onset. However, most studies acute including CT, lumbar puncture and are multicenter from referral hospitals with highly selected patient populations. The main purpose this study was describe diagnostic properties head CT cerebrospinal fluid (CSF)...

General practitioners (GPs) diagnose and manage a majority of headache patients seeking health care. With the aim to understand potential for clinical improvement educational needs, we performed study investigate Norwegian GPs knowledge about its management.We invited from random sample 130 continuous medical education (CME) groups respond an anonymous questionnaire survey.367 responded survey (73% CME groups, 7.6% all in Norway). Mean age was 46 (SD 11) years, with average 18 10) years...