Table 3.

Emergency medical services performance and hospital-based outcomes among 916 suspected or confirmed strokes before and after the training.

Performance	All patients	Before training	After training	P-value
	(95% CI)	(95% CI)	(95% CI)
EMS recognized stroke patients (sensitivity)	68.0% (64.6–71.3)	68.0% (63.3–72.3)	68.2% (63.0–72.9)	0.955
PPV for identification of stroke patients	75.2% (71.9–78.4)	71.8% (67.3–76.3)	79.8% (75.1–84.4)	0.017
Onset-to-door ≤ 90 min	37.2% (32.8–41.8)	33.7% (28.2–39.8)	42.0% (35.0–49.3)	0.079
Door-to-CT ≤ 30 min†	84.2% (78.6–88.6)	84.1% (76.8–89.5)	84.4% (74.7–90.9)	0.956
IVT rate‡	19.3% (16.4–22.6)	18.9% (15.1–23.4)	19.9% (15.5–25.1)	0.764
Door-to-needle time ≤ 30 min	27.4% (20.1–36.1)	23.4% (14.8–35.1)	32.1% (21.1–45.5)	0.297
In-hospital mortality§	10.5% (8.4–13.2)	12.3% (9.4–16.0)	7.8% (5.1–11.8)	0.070

CI, confidence interval; PPV, positive predictive value; CT, computed tomography; IVT, intravenous thrombolysis.

^†Included stroke patients, who underwent reperfusion treatment (n = 203).

^‡Only ischemic stroke patients (n = 606).

^§Only hospitalized stroke patients (n = 636).