Lack of gender disparities in emergency department triage of acute stroke patients

Tracy E. Madsen, Esther Choo, Todd A. Seigel, Danielle Palms, Brian Silver

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Introduction: Previous literature has shown gender disparities in the care of acute ischemic stroke. Compared to men, women wait longer for brain imaging and are less likely to receive intravenous (IV) tissue plasminogen activator (tPA). Emergency department (ED) triage is an important step in the rapid assessment of stroke patients and is a possible contributor to disparities. It is unknown whether gender differences exist in ED triage of acute stroke patients. Our primary objective was to determine whether gender disparities exist in the triage of acute stroke patients as defined by Emergency Severity Index (ESI) levels and use of ED critical care beds. Methods: This was a retrospective, observational study of both ischemic and hemorrhagic stroke patients age ≥18 years presenting to a large, urban, academic ED within six hours of symptom onset between January 2010, and December 2012. Primary outcomes were triage to a non-critical ED bed and Emergency Severity Index (ESI) level. Primary outcome data were extracted from electronic medical records by a blinded data manager; secondary outcome data and covariates were abstracted by trained research assistants. We performed bivariate and multivariate analyses. Logistic regression was performed using age, race, insurance status, mode of and time to arrival, National Institutes of Health Stroke Scale, and presence of atypical symptoms as covariates. Results: There were 537 patients included in this study. Women were older (75.6 vs. 69.5, p

Original languageEnglish (US)
Pages (from-to)203-209
Number of pages7
JournalWestern Journal of Emergency Medicine
Volume16
Issue number1
DOIs
StatePublished - 2015
Externally publishedYes

Fingerprint

Triage
Hospital Emergency Service
Stroke
Emergencies
Insurance Coverage
Electronic Health Records
National Institutes of Health (U.S.)
Tissue Plasminogen Activator
Critical Care
Neuroimaging
Observational Studies
Multivariate Analysis
Retrospective Studies
Logistic Models
Research

Keywords

  • ED care
  • Gender
  • Stroke
  • Treatment disparities
  • Triage

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Lack of gender disparities in emergency department triage of acute stroke patients. / Madsen, Tracy E.; Choo, Esther; Seigel, Todd A.; Palms, Danielle; Silver, Brian.

In: Western Journal of Emergency Medicine, Vol. 16, No. 1, 2015, p. 203-209.

Research output: Contribution to journalArticle

Madsen, Tracy E. ; Choo, Esther ; Seigel, Todd A. ; Palms, Danielle ; Silver, Brian. / Lack of gender disparities in emergency department triage of acute stroke patients. In: Western Journal of Emergency Medicine. 2015 ; Vol. 16, No. 1. pp. 203-209.
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