Acute prehospital and early intrahospital stroke care.
| Characteristics | CSC(n=2,462) | LSU(n=726) | P-value |
|---|---|---|---|
| mRS at admission, median (IQR) | 3 (2-5) | 2 (1-4) | <0.001 |
| mRS at admission | <0.001 | ||
| 0 | 226 (9.2) | 90 (12.4) | |
| 1 | 250 (10.2) | 127 (17.5) | |
| 2 | 405 (16.5) | 170 (23.4) | |
| 3 | 518 (21.0) | 152 (20.9) | |
| 4 | 445 (18.1) | 117 (16.1) | |
| 5 | 618 (25.1) | 70 (9.6) | |
| NIHSS, mean (SD) | 7.69 ± 8.98 | 4.01 ± 5.56 | <0.001 |
| NIHSS on admission* | <0.001 | ||
| 4-25 | 1,139 (48.5) | 242 (33.9) | |
| 1-3 or >25 | 856 (36.4) | 295 (41.4) | |
| 0 | 354 (15.1) | 176 (24.7) | |
| Admission ward | <0.001 | ||
| Normal ward | 146 (5.9) | 17 (2.3) | |
| Stroke Unit | 1,832 (74.4) | 693 (95.5) | |
| ICU | 484 (19.7) | 16 (2.2) | |
| Door-to-image-time | <0.001 | ||
| ≤30 min | 736 (37.5) | 120 (22.3) | |
| >30 min | 1,227 (62.5) | 417 (77.7) | |
| Image before admission | 385 (15.6) | 160 (22.0) | |
| Modality of first image | 0.058 | ||
| CT | 2,002 (81.3) | 612 (84.3) | |
| MRI | 430 (17.5) | 111 (15.3) | |
| None/not documented | 30 (1.2) | 3 (0.4) | |
| Intravenous thrombolysis | |||
| None | 2031 (82.9) | 693 (95.9) | |
| After admission | 367 (15.0) | 30 (4.1) | |
| Before admission | 53 (2.2) | 0 (0) | |
| Door-to-needle time | <0.001 | ||
| ≤60min | 287 (68.7) | 9 (29.0) | |
| >60 min | 131 (31.3) | 22 (71.0) | |
| Symptomatic ICH | 36 (8.1) | 2 (6.5) | 0.537 |
| Values are presented as number and percentage (%). CSC - comprehensive stroke centers, LSU - local stroke unit mRS - modified Rankin Score; NIHSS - National Institute for Health Stroke Scale; ICU - intensive care unit, i.v. - intravenous; iICH - intracranial hemorrhage. Some of the values may not add up to the total number of patients included due to missing values* (namely, for patients with in-house stroke no “door”-time could be calculated) | |||