PT -期刊文章盟怀Gupta AU -帕特丽夏Coyle盟吉尔Miller-Horn TI -脑电图研究下令Non-Neurologists晕厥的诊断产量和神经学家在大学医学中心(P02.240) DP - 2013年2月12日TA -神经病学PG - P02.240 P02.240 VI - 80 IP - 7补充4099 - //www.ez-admanager.com/content/80/7_Supplement/P02.240.short 4100 - ht首页tp://www.ez-admanager.com/content/80/7_Supplement/P02.240.full所以Neurology2013 2月12;80 AB -目的:确定诊断的差异产生的脑电图下令non-neurologist相比,神经学家在患者出现晕厥。背景:在评估患者意识丧失(LOC)和语气,2007年美国急诊医师临床晕厥政策列表历史,物理,和心电图作为他们的建议。晕厥症状之前LOC可能类似于发作,如果历史包括同一父本混乱,脑电图可能是必要的。然而,经常命令脑电图不管历史表明晕厥,可能导致不恰当的利用医院资源。设计/方法:受试者发现通过搜索“晕厥”ER和住院病人常规脑电图报告做的1/2011到6/2012。收集的数据包括年龄和性别,脑电图结果,要求医生。综述了图表确认历史。结果:脑电图的报道,177名患者被确认。58年,平均年龄范围3 - 92年,107男性,70名女性。一百一十九(67%)脑电图正常,58异常(33%)。 Slowing was seen in 45/58(78%) of abnormal EEGs, 1 breach, 1 FIRDA. Only 11/177(6%) showed epileptiform discharges (3 generalized spike-wave, 2 right temporal sharp-waves, 2 left temporal sharp-waves, 1 right frontal sharp-waves, 1 PLEDS, 1 notched-slowing, and 1 with subclinical-seizures). Neurologists ordered 45/177(25%) of EEGs, 132/177(75%) ordered by non-neurologists. Of the neurologist-ordered EEGs, 8/45(18%) showed epileptiform activity, 3/132(2%) EEGs ordered by non-neurologists were epileptiform.CONCLUSIONS: Our data agrees, EEG is not very useful for evaluating syncope because of its low diagnostic yield. However, our study revealed that EEGs ordered by neurologists have a higher likelihood of showing epileptiform discharges. Prospective studies are needed to clarify the role of neurologists in ordering EEGs for patients with syncope, to minimize inappropriate utilization of hospital resources.Disclosure: Dr. Gupta has nothing to disclose. Dr. Coyle has received personal compensation for activities with Acorda Therapeutics, Bayer, Biogen Idec, Genentech, Inc., Novartis, Pfizer Inc, Questcor, Roche Diagnostics Corporation, Sanofi-Aventis Pharmaceuticals Corporation, and Teva Neuroscience. Dr. Coyle has received personal compensation in an editorial capacity for NEURA. Dr. Coyle has received research support fromActelion, EMD Serono, and Novartis. Dr. Miller-Horn has nothing to disclose.Tuesday, March 19 2013, 7:30 am-12:00 pm