Table 4.
Comparison of cases with stroke occurring ≤30 versus >30 days of the index ED visit
| Case within 30 days (n=13) | Other cases (n=40) | P-value | |
|---|---|---|---|
| Headache not in triage complaint | 3 (23.1) | 12 (30) | 0.70 |
| Health-system Crossover | 5 (38.5) | 8 (20) | 0.57 |
| Missed diagnostic opportunity using modified Safer Stroke-Dx | 1 (7.7) | 7 (17.5) | 0.36 |
| Differential diagnosis documented | 7 (53.8) | 28 (70) | 0.29 |
| Stroke on differential diagnosis | 4 (30.8) | 21 (52.5) | 0.43 |
| SNOOP > 1 | 7 (53.8) | 27 (67.5) | 0.37 |
| Essential headache-related information not documented | 1 (7.7) | 10 (25) | 0.18 |
| Inadequate record documentation | 2(15.4) | 20 (50) | 0.03 |
| Seen by an Emergency Medicine trainee | 6 (46.2) | 14 (35) | 0.47 |
| Acute/subacute infarct | 0 | 2 (5) | 0.43 |
| Neuro consult | 2 (15.4) | 8 (20) | 0.84 |
| Neurological Examination | |||
| Fundoscopic exam | 0 | 1 (2.5) | 0.57 |
| Meningeal signs | 2 (15.4) | 9 (22.5) | 0.56 |
| Mental status | 13 (100) | 37 (92.5) | 0.31 |
| Otoscopy | 2 (15.4) | 2 (5) | 0.22 |
| Visual fields | 8 (61.5) | 19 (47.5) | 0.38 |
| Pupils | 10 (76.9) | 21 (52.5) | 0.12 |
| Ocular motility | 10 (76.9) | 21 (52.5) | 0.12 |
| Facial droop | 9 (69.2) | 23 (57.5) | 0.45 |
| Limb sensory | 4 (30.8) | 15 (37.5) | 0.66 |
| Motor strength | 7 (53.8) | 18 (45) | 0.58 |
| Coordination | 8 (32) | 14 (35) | 0.09 |
| Ambulates | 3 (23.1) | 8 (20) | 0.81 |
| < 2 components of the neurological exam documented | 2 (15.4) | 14 (35) | 0.18 |