Predictor | Unadjusted | Adjusted* | ||||||
---|---|---|---|---|---|---|---|---|
HR | 95% CI | p Value | HR | 95% CI | p Value | |||
Onset time recorded vs not recorded by EMS | ||||||||
Time to scan request | 0.67 | 0.48 | 0.94 | 0.020 | 0.73 | 0.52 | 1.03 | 0.070 |
Time to scan | 0.60 | 0.42 | 0.84 | 0.003 | 0.61 | 0.42 | 0.88 | 0.008 |
FAST+ vs FAST−/Not done | ||||||||
Time to scan request | 0.54 | 0.37 | 0.80 | 0.002 | 0.54 | 0.37 | 0.80 | 0.002 |
Time to scan | 0.74 | 0.50 | 1.09 | 0.123 | 0.72 | 0.48 | 1.08 | 0.108 |
Hospital prealerted vs not prealerted by EMS | ||||||||
Time to scan request | 0.23 | 0.16 | 0.34 | <0.001 | 0.26 | 0.18 | 0.38 | <0.001 |
Time to scan | 0.46 | 0.32 | 0.65 | <0.001 | 0.63 | 0.43 | 0.94 | 0.022 |
HR represents the likelihood of the CT request/scan being delayed in those who have a known onset time, are FAST+ or where a hospital prealert message was sent.
*HRs were adjusted for EMS recording of onset time, FAST status, patient age, route to hospital, arrival in hospital within 4 h of symptom onset, Glasgow Coma Score, and whether the hospital was prealerted by EMS staff prior to arrival in the ED provided they were independent of the explanatory and outcome variables. Full details of each proportional hazards model can be found in online supplementary table S2.
EMS, emergency medical service; FAST, Face Arm Speech Test.