Table 1.
Patient Presentation Summary
Patient | Age (sex) | Cardiovascular risk factors | NIHSS | Clinical presentation | SBP | LWK to arrival (minutes) | Code stroke (time to code) |
1 | 83 (F) | HTN, PFO, TIA, smoker | 11 | Obtundation after a fall | 172 | 688 | |
2 | 85 (F) | HTN, DM2, CAD, Afib, CHF, Valve replacement, CVA, smoker | 6 | Waxing and waning dysarthria and disorientation | 150 | 167 | |
3 | 63 (M) | HTN, DM2, PFO | 2 | Dizziness, diplopia, somnolence, memory disturbance | 89 | 7360 | |
4 | 70 (F) | HTN, HLD, Malignancy | 7 | Obtundation, eventually started on EEG | 171 | 45 | |
5 | 65 (M) | None | 2 | Somnolence, disorientation, dysarthria, diplopia | 201 | 4320 | |
6 | 90 (F) | HTN, HLD, CAD, Afib, smoker | 18 | Acute-onset unresponsiveness after an ERCP | 172 | a | |
7 | 59 (M) | HTN, DM2, HLD, smoker | 2 | Disorientation, somnolence, acute memory disturbance | 109 | 1487 | |
8 | 76 (F) | HTN | 6 | Disorientation and diplopia, later developed right-hand numbness | 171 | 3612 | |
9 | 72 (F) | Smoker | 2 | Woke up with disorientation, dysarthria, diplopia | 195 | 861 | Code Stroke (31 min) |
10 | 64 (M) | Malignancy | 26 | Found unresponsive after total knee replacement | 166 | a | |
11 | 58 (M) | HTN, DM2, HLD | 30 | Acute-onset unresponsiveness, diplopia reported by family | 205 | 490 | |
12 | 59 (F) | DM2, smoker | 37 | Intubated with low GCS, septic, dilated pupils, s/p mannitol | 167 | a | |
13 | 43 (M) | HTN, CVA, CNS vasculitis due to HIV, smoker | 2 | Dysarthria and diplopia, cognitive impairment | 137 | 214 | Code Stroke (18 min) |
14 | 84 (M) | HTN, HLD, OSA, smoker | 33 | Acute unresponsiveness, reported diplopia, pupils sluggish R>L while intubated | 150 | 89 | Code Stroke (85 min), tPA (92 min) |
15 | 60 (F) | HTN, smoker | 0 | Diplopia, abnormal taste, smell, ataxia, disorientation | 158 | 8640 | |
Median (IQR) | 65.0 (59.5–79.5) | 6.0 (2.0–22.0) | 167.0 (150.0–172.0) | 774.5 (202.25–3789.0) |
Abbreviations: SBP = systolic blood pressure; ERCP = endoscopic retrograde cholangiopancreatectomy; FTH = Found to have; GCS = Glasgow Coma Scale; LWK = last well known; S/p = status post.
Did not present to the emergency department. Patients were already admitted for treatment of an unrelated diagnosis.