Table 1.
Characteristics* | Repeated imaging (n=165) | No repeated imaging (n=386) | p value |
Age, years – mean±SD | 71±15.3 | 70±13.3 | 0.40 |
Male sex – no./total (%) | 79/165 (48%) | 200/386 (52%) | 0.40 |
Hypertension – no./total (%) | 68/164 (41%) | 150/382 (39%) | 0.63 |
Diabetes mellitus – no./total (%) | 21/164 (13%) | 56/382 (15%) | 0.57 |
Atrial fibrillation – no./total (%) | 34/164 (21%) | 95/382 (25%) | 0.30 |
Coronary artery disease – no./total (%) | 14/164 (9%) | 80/382 (21%) | <0.01 |
Previous stroke – no./total (%) | 30/164 (18%) | 66/382 (17%) | 0.78 |
Pre-stroke mRS score† – median (IQR) | 1 (0–1) | 1 (0–1) | 0.72 |
Systolic blood pressure (mm Hg) – mean±SD | 150±28.1 | 148±23.9 | 0.37 |
Diastolic blood pressure (mm Hg) – mean±SD | 83±17.0 | 82±16.5 | 0.65 |
NIHSS score at PSC arrival‡ – median (IQR) | 11 (7–15) | 13 (9–17) | <0.01 |
NIHSS score at CSC arrival§ – median (IQR) | 9 (4–17) | 16 (10–20) | <0.01 |
Intracranial occlusion site (on PSC imaging) – no./total (%) | 0.07 | ||
ICA | 26/164 (16%) | 76/386 (20%) | |
M1 | 90/164 (55%) | 228/386 (59%) | |
Proximal M2 | 31/164 (19%) | 38/386 (10%) | |
Anterior cerebral artery | 0/164 (0%) | 1/386 (0%) | |
Basilar artery | 13/164 (8%) | 31/386 (8%) | |
No LVO (misread by radiologist at PSC) | 4/164 (2%) | 12/386 (3%) | |
Reason for repeating imaging – no./total (%) | |||
Clinical improvement | 86/165 (52%) | NA | – |
Clinical deterioration | 40/165 (24%) | NA | – |
Additional imaging characteristics for assessing indication for EVT** | 11/165 (7%) | NA | – |
Other | 6/165 (4%) | NA | – |
Reason not recorded | 22/165 (13%) | NA | – |
Presentation outside office hours – no./total (%) | 74/150 (49%) | 233/365 (64%) | <0.01 |
Time from stroke onset to arrival at PSC (min)¶ – median (IQR) | 50 (30–81) | 58 (32–95) | 0.14 |
Treatment with IVT – no./total (%) | 135/165 (82%) | 276/386 (72%) | 0.01 |
*All baseline characteristics were measured on arrival at the CSC, unless reported otherwise.
†Number of missing values: 350.
‡28.
§4.
¶178.
**For example, ASPECTS, collaterals, core/penumbra ratio <6 hours.
ASPECTS, Alberta Stroke Program Early CT Score; CSC, comprehensive stroke center; EVT, endovascular treatment; ICA, intracranial part of internal carotid artery; IVT, intravenous thrombolysis; LVO, large vessel occlusion; M1, first segment of the middle cerebral artery; M2, proximal part of the second segment (after first bifurcation) of the middle cerebral artery; mRS, modified Rankin Scale; NA, not applicable; NIHSS, National Institutes of Health Stroke Scale; no., number; PSC, primary stroke center.