Table 2.
Timeliness of Patient Presentation and Stroke Care Delivery Before and During COVID-19 at a Comprehensive Stroke Center and its 24 Telestroke Network Spoke Hospitals
| Nov 1, 2019 – Feb 29, 2020 | March 1 – April 30, 2020 | p-value for comparison | |
|---|---|---|---|
| Median (IQR) time from LKW to ED presentation (min)* Telestroke consultations (n=154) CSC stroke admissions (n=363) |
68.5 (42.0 – 127.0) 686.5 (198.0 – 2095.5) |
65.0 (38.0 – 97.2) 704.0 (226.0 – 1689.5) |
0.44 0.87 |
| Median time (IQR) from symptom discovery to ED presentation (min)* Telestroke consultations (n=153) CSC admissions (n=383) |
51.0 (35.0 – 85.0) 299.0 (110.0 – 936.0) |
55.5 (36.8 – 76.2) 272.0 (138.2 – 795.5) |
0.98 0.99 |
| Median (IQR) time from ED arrival to telestroke consult (min) Telestroke consultations (n=151) |
35.0 (19.8 – 55.8) | 35.0 (23.0 – 52.0) | 0.83 |
| Median (IQR) time from ED arrival to alteplase (min) Telestroke consultations (n=75) CSC admissions (n=22) |
64.5 (49.8 – 81.8) 42.0 (28.0 – 64.0) |
70.0 (59.5 – 104.5) 43.0 (39.0 – 51.0) |
0.25 0.56 |
| Median (IQR) time from CSC ED arrival to groin puncture for thrombectomy (min) CSC admissions (n=48) |
67.5 (21.5 – 107.2) | 64.5 (33.8 – 129.5) | 0.78 |
Abbreviations. CSC: Comprehensive Stroke Center; ED: emergency department; LKW: last known well. IQR: Interquartile Range presented as 25th to 75th percentile.
*
Among telestroke consultations, median times from LKW and symptom discovery to ED presentation are primarily collected among patients who may be potential candidates for alteplase or thrombectomy. Among CSC patients, these fields are recorded for all stroke and TIA admissions.