ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2016
Gender and Time to Arrival among Ischemic Stroke Patients in the Greater Cincinnati/Northern Kentucky Stroke Study.
Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Organizational Factors Determining Access to Reperfusion Therapies in Ischemic Stroke-Systematic Literature Review.International journal of environmental research and public health · 2022Pooled it
- Factors delaying intravenous thrombolytic therapy in acute ischaemic stroke: a systematic review of the literature.Journal of neurology · 2021Pooled it
- Sex Disparities in Prehospital and In-Hospital Delays to Intravenous Thrombolysis in Egyptian Stroke Patients.Neuroepidemiology · 2026Article
- Psychological distress in stroke patients: latent class analysis and influencing factors.Frontiers in psychiatry · 2026Article
- Time-Sensitive Quality Metrics of Acute Stroke Care: A Comprehensive Stroke Center Experience.The Eurasian journal of medicine · 2024Article
- Factors Affecting the Delay of intravenous Thrombolysis in Hyperacute Ischemic Stroke Patients: A Single Centre Study.International journal of general medicine · 2023Article
- Detection to Hospital Door: Gender Differences of Patients With Acute Stroke Symptoms.Frontiers in neurology · 2022Review
- Call to Action for Enhanced Equity: Racial/Ethnic Diversity and Sex Differences in Stroke Symptoms.Frontiers in cardiovascular medicine · 2022Review
- Impact of onset-to-door time on outcomes and factors associated with late hospital arrival in patients with acute ischemic stroke.PloS one · 2021Article
- Factors Associated with Shortening of Prehospital Delay among Patients with Acute Ischemic Stroke.Journal of clinical medicine · 2019Article
- Influence of Sex on Stroke Prognosis: A Demographic, Clinical, and Molecular Analysis.Frontiers in neurology · 2019Article
- Under-representation of women in stroke randomized controlled trials: inadvertent selection bias leading to suboptimal conclusions.Therapeutic advances in neurological disorders · 2017Article
- Race-Ethnic Disparities in Hospital Arrival Time after Ischemic Stroke.Ethnicity & disease · 2017Article
- Stroke Center Certification Is Associated With Improved Guideline Concordance.American journal of medical quality : the official journal of the American College of Medical QualityArticle
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Authors and funding
14 authors.
Funding
Abstract
backgroundSome studies of stroke patients report longer prehospital delays in women, but others conflict; studies vary in their inclusion of factors including age and stroke severity. We aimed to investigate the relationship between gender and time to emergency department (ED) arrival and the influence of age and stroke severity on this relationship.
methodsIschemic stroke patients 20 years old or older who presented to 15 hospitals within a 5-county region of Greater Cincinnati/Northern Kentucky during 2010 were included. Time from symptom onset to ED arrival and covariates were abstracted by study nurses and reviewed by study physicians. Data were analyzed using logistic regression with time to arrival dichotomized at 3 hours or less in the overall sample and then stratified by National Institutes of Health Stroke Scale (NIHSS) and age.
results1991 strokes (55% women) were included. Time to arrival was slightly longer in women (geometric mean 337 minutes [95% confidence interval {CI} 307-369] versus 297 [95% CI 268-329], P = .05), and 24% of women versus 27% of men arrived within 3 hours (P = .15). After adjusting for age, race, NIHSS, living situation, and other covariates, gender was not associated with delayed time to arrival (OR = 1.00, 95% CI .78-1.28). This did not change across age or NIHSS categories.
conclusionsAfter adjusting for factors including age, NIHSS score, and living alone, women and men with ischemic stroke had similar times to arrival. Arrival time is not likely a major contributor to differences in outcome between men and women.
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