Table 1.
Telestroke (n = 104) | Stroke center (n = 48) | p-value | |
---|---|---|---|
Demographics | |||
Gender, male, n (%) | 52 (50) | 24 (50) | 1.0 |
Age, years, mean ±σ | 73.3 ± 12.7 | 75.5 ± 11.4 | 0.32 |
Initial stroke severity, median (IQR) | |||
NIHSS | 8 (9) | 6.5 (6.8) | 0.28 |
ASPECTS | 10 (1) | 10 (1) | 0.99 |
Clinical baseline values, ±σ | |||
Serum glucose, mmol/L | 7.1 ± 2.7 | 7.1 ± 2.4 | 0.85 |
Initial systolic blood pressure | 167 ± 31.3 | 170 ± 34 | 0.55 |
Initial diastolic blood pressure | 87 ± 27 | 89 ± 21.5 | 0.36 |
Pre-IVT systolic blood pressure | 160 ± 29 | 156 ± 26 | 0.24 |
Pre-IVT diastolic blood pressure | 83 ± 19 | 81 ± 15.8 | 0.55 |
Vascular risk factors, n (%) | |||
Previous ischemic stroke | 23 (22.1) | 13 (27.1) | 0.50 |
Arterial hypertension | 92 (88.5) | 44 (91.7) | 0.55 |
Diabetes mellitus type II | 44 (42.3) | 23 (47.9) | 0.52 |
Hyperlipidemia | 78 (75) | 39 (81.3) | 0.40 |
Atrial fibrillation | 29 (27.9) | 15 (31.3) | 0.67 |
Smoking | 17 (16.3) | 5 (12.5) | 0.54 |
Pre-medication, n (%) | |||
Antiplatelet therapy | 44 (42.7) | 14 (29.2) | 0.11 |
Anticoagulation | 3 (2.9) | 4 (8.3) | 0.21 |
Large vessel occlusion, n (%) | |||
Any | 8 (7.7) | 20 (41.7) | <0.0001 |
Terminal internal carotid artery | 3 (2.9) | 4 (8.3) | |
Middle cerebral artery | 4 (3.9) | 12 (25) | |
Basilar artery | 0 (0) | 1 (2.1) | |
Other | 1 (1) | 3 (6.3) | |
Process times, median (IQR) | |||
Door-to-imaging, min | 17 (24) | 18 (20) | 0.40 |
Door-to-needle, min | 74 (57) | 67 (39.5) | 0.20 |
Onset-to-treatment, min | 210 (45) | 228 (58) | 0.02 |
Door-to-consult, min | 18 (23) | – | |
Teleconsult duration, min* | 10 (13) | – | |
Stroke etiology, n (%) | |||
Toast classification | <0.0001 | ||
Large-artery atherosclerosis | 8 (7.7) | 20 (41.7) | |
Small-vessel occlusion | 9 (8.7) | 4 (8.3) | |
Cardioembolism | 20 (19.2) | 17 (35.4) | |
Other determined etiology | 1 (1) | 1 (2.1) | |
Undetermined etiology | 66 (63.5) | 2 (4.2) | |
Stroke mimics | 3 (2.9) | - | 0.55 |
σ, standard deviation; , mean; IQR, interquartile range; NIHSS, National Institutes of Health Stroke Scale; mRS, modified Rankin Scale.
According to data from 42 telestroke patients.