Evidence map›Paper›PMID 37426435›Full record

ArticleFrontiers in neurology2023

Sex differences in acute telestroke care: more to the story.

Theresa Sevilis, Amanda Avila, Mark McDonald, Mariecken Fowler, Renata Chalfin, Murtaza Amir, Gregory Heath, Mohammed Zaman, Lorianne Avino, Caitlyn Boyd and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Theresa SevilisTeleSpecialists, LLC, Fort Myers, FL, United States.
Amanda AvilaTeleSpecialists, LLC, Fort Myers, FL, United States.
Mark McDonaldTeleSpecialists, LLC, Fort Myers, FL, United States.
Mariecken FowlerTeleSpecialists, LLC, Fort Myers, FL, United States.
Renata ChalfinTeleSpecialists, LLC, Fort Myers, FL, United States.
Murtaza AmirTeleSpecialists, LLC, Fort Myers, FL, United States.
Gregory HeathPublic Health, University of Tennessee at Chattanooga, Chattanooga, TN, United States.
Mohammed ZamanTeleSpecialists, LLC, Fort Myers, FL, United States.
Lorianne AvinoTeleSpecialists, LLC, Fort Myers, FL, United States.
Caitlyn BoydTeleSpecialists, LLC, Fort Myers, FL, United States.
Lan GaoMathematics, University of Tennessee at Chattanooga, Chattanooga, TN, United States.
Thomas DevlinTeleSpecialists, LLC, Fort Myers, FL, United States.
University of Tennessee at Chattanooga · USUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Previous studies have shown sex differences in stroke care. Female patients have both lower thrombolytic treatment rates with OR reported as low as 0.57 and worse outcomes. With updated standards of care and improved access to care through telestroke, there is potential to reduce or alleviate these disparities. Methods: Acute stroke consultations seen by TeleSpecialists, LLC physicians in the emergency department in 203 facilities (23 states) from January 1, 2021 to April 30, 2021 were extracted from the Telecare by TeleSpecialists Results: There were 18,783 (10,073 female and 8,710 male) total patients included. Of the total, 6.9% of females received thrombolytics compared to 7.9% of males (OR 0.86, 95% CI 0.75-0.97, Conclusion: While treatment differences between sexes existed in the data and were apparent in univariate analysis, no significant difference was seen in multivariate analysis once stroke risk factors, age, NIHSS score and admitting diagnosis were taken into consideration in the telestroke setting. Differences in rates of thrombolysis between sexes may therefore be reflective of differences in risk factors and symptomatology rather than a healthcare disparity.

Indexed as

acute stroke carehealthcare disparitiesstroketelestrokethrombolyticswomen

Identifiers

PMID37426435
PMCPMC10325705
OpenAlexW4381662323

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.