2020 pandemic cohort: spring (n=206) | 2019 reference cohort: spring (n=178) | P value | 2020 pandemic cohort: summer (n=177) | 2019 reference cohort: summer (n=161) | P value | |
Stroke evaluation metrics | ||||||
Symptom onset to hospital presentation delay | ||||||
All patients | 142 (62–348) | 101 (59–212) | 0.03 | 110 (52–256) | 97 (61–233) | 0.73 |
All ischemic stroke patients | 169 (63–353) | 116 (62–229) | 0.12 | 110 (50–261) | 97 (58–233) | 0.91 |
Door-to-imaging | ||||||
Direct evaluation | 18 (13–23) | 16 (10–22) | 0.13 | 19 (14–24) | 18 (11–23) | 0.19 |
Transfer from another institution | 29 (20–46) | 21 (15–31) | 0.04 | 21 (13–34) | 21 (14–41) | 0.78 |
Reperfusion metrics | ||||||
Door-to-needle | ||||||
Direct evaluation | 34 (26–41) | 24 (21–30) | 0.01 | 29 (26–39) | 24 (21–32) | 0.03 |
Transfer from another institution | 52 (43–79) | 61 (45–76) | 0.55 | 61 (47–78) | 48 (39–65) | 0.09 |
Door-to-puncture | ||||||
Direct evaluation | 68 (60–90) | 56 (43–70) | 0.03 | 73 (56–83) | 74 (52–79) | 0.99 |
Transfer from another institution (door: referring ED) | 147 (133–174) | 153 (121–184) | 0.88 | 149 (137–177) | 149 (130–185) | 0.61 |
Transfer from another institution (door: CSC ED) | 20 (15–24) | 16 (11–24) | 0.10 | 18 (16–21) | 16 (12–24) | 0.18 |
Door-to-recanalization | ||||||
Direct evaluation | 98 (89–123) | 80 (62–95) | 0.01 | 98 (82–115) | 104 (90–117) | 0.78 |
Transfer from another institution (door: referring ED) | 190 (160–228) | 189 (154–230) | 0.97 | 190 (161–206) | 183 (162–217) | 0.94 |
Transfer from another institution (door: CSC ED) | 50 (37–69) | 42 (32–64) | 0.25 | 50 (41–71) | 53 (37–69) | 0.64 |
CSC, Comprehensive Stroke Center; ED, emergency department.