https://he05.tci-thaijo.org/index.php/BSHJ <p>The Buddhasothorn Hospital Journal (BSHJ) is a publication established with the purpose of disseminating articles in the fields of medicine and public health. This includes research articles, case reports, review articles, academic articles and medical education research. </p> <p>All articles, such as research articles and case reports, will be subjected to review by at least two qualified reviewers. The authors and reviewers will remain anonymous to each other (Double-Blind). Articles authored by individuals within the institution will be reviewed by individuals or editors from outside the institution. Additionally, submitted articles must not have been previously published or be under consideration for publication by other journals.</p> <p>Published quarterly: Issue 1: January-March Issue 2: April-June Issue 3: July-September Issue 4: October-December</p> <p>The Buddhasothorn Hospital Journal (BSHJ) is available in two formats: print and online.</p> <p>ISSN 2586-8624 (Print)</p> <p>ISSN 2985-2587 (Online) </p> <p>**The Buddhasothorn Hospital Journal (BSHJ) charges a publication fee of 3,000 baht per article. The publication fee will be paid once your article has successfully passed the assessment and editing process to a sufficient quality for inclusion in the journal volume**</p> โรงพยาบาลพุทธโสธร กระทรวงสาธารณสุข en-US Buddhasothorn Hospital Journal 2586-8624 https://he05.tci-thaijo.org/index.php/BSHJ/article/view/3274 <p><strong>Background:</strong> The failure to recognize an ischemic stroke in the emergency department is a missed opportunity for acute interventions and for prompt treatment with secondary prevention therapy, patients with missed strokes may not be monitored appropriately for neurological progression of stroke syndromes or stroke-related complications. Our aim is to study incidence and factors associated with missed diagnosis to enhance the patient care process.</p> <p><strong>Objectives: </strong>To study prevalence and factor associated with missed diagnosis of acute ischemic stroke at emergency department</p> <p><strong>Methods</strong>: A retrospective study collected data from electrical medical records of patient from stroke unit whose diagnosed acute ischemic stroke from emergency physician or neurologist at Chonburi Hospital from 1 October 2021 to 30 September 2022. The agreement of diagnosis from emergency physician and neurologist and analyzed using cohen’s kappa coefficient.</p> <p>Factor associated with missed diagnosis of acute ischemic stroke were analyzed using multiple logistic regression. The significant level was 0.05 and all data were analyzed by STATA version 15</p> <p><strong>Results:</strong> A total of 252 patients were included in this study. The kappa agreement of diagnosis of acute ischemic stroke was 98.84%. Thirteen patients had a missed diagnosis. The chief compliant associated with missed diagnosis group were alteration of consciousness and dizziness, with odds ratios of 9.22 and 7.55, respectively, both statistically significant.</p> <p><strong>Conclusions:</strong> Alteration of consciousness and dizziness were associated with missed diagnosis of acute ischemic stroke.</p> Nilubol Juntub Chudhabhorn Benchalaoharatana Copyright (c) 2025 Buddhasothorn Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-01-24 2025-01-24 41 1