Table 1.

Baseline Characteristics of Patients in Missed and Non-missed Groups

FactorsOverall (n = 217)Missed (n = 124)Non-missed (n = 93)p-value
Age (mean, SD)68.1 (11.6)69.3 (11.3)66.4 (11.8).69
Sex
 Male209 (96.3%)122 (98.4%)87 (93.5%).077
 Female8 (3.7%)2 (1.6%)6 (6.5%)
Race
 African American66 (30.4%)40 (32.3%)26 (28.0%).291
 American Indian2 (0.9%)02 (2.2%)
 Asian2 (0.9%)1 (0.8%)1 (1.1%)
 White140 (64.5%)78 (62.9%)62 (66.7%)
 Other1 (0.5%)01 (1.1%)
 Decline to Answer6 (2.8%)5 (4.0%)1 (1.1%)
Provider
 Physician166 (76.5%)94 (75.8%)72 (77.4%).975
 NP16 (7.4%)9 (7.3%)7(7.5%)
 PA14 (6.5%)8 (6.5%)6 (6.5%)
 Others21 (9.7%)13 (10.5%)8 (8.6%)
Presenting Symptom at ED index visit
 Headache87 (40.1%)40 (32.3%)47 (50.5%).012
 Dizziness109 (50.2%)73 (58.9%)36 (38.7%)
 Both21 (9.7%)11 (8.9%)10 (10.8%)
Top 5 discharge diagnoses noted at ED index visit
Headache (23.5%)Dizziness (28.2%)Headache (38.7%)N/A
Dizziness (22.1%)Headache (12.1%)Dizziness (13.9%)
Vertigo (10.1%)Vertigo (11.2%)Vertigo (8.6%)
Lightheadedness (5.5%)Lightheadedness (8.9%)Migraine (6.4%)
Migraine (5.1%)Benign paroxysmal positional vertigo (4.1%)Dizziness, headache (5.3%)
Type of Stroke Diagnosis
 Ischemic stroke146 (67.3%)88 (71.0%)58 (62.4%).272
 Hemorrhagic stroke27 (12.4%)16 (12.9%)11 (11.8%)
 Transient ischemic attack (TIA)42 (19.4%)19 (15.3%)23 (24.7%)
 Unspecified2 (0.9%)1 (0.8%)1 (1.1%)
Stroke Risk Predictors Score
 Dawson TIA scorea
  Low risk (<5.4)87 (40.1%)44 (35.5%)43 (46.2%).110
  High risk (>=5.4)130 (59.9%)80 (64.5%)50 (53.8%)
 ROSIER Scaleb
  Low risk (<=0)179 (82.5%)97 (78.2%)82 (88.2%).056
  High risk (>0)38 (17.5%)27 (21.8%)11 (11.8%)
 ABCD2 scorec
  Low (1–3)113 (52.1%)71 (57.3%)42 (45.2%).180
  Moderate (4–5)101 (46.5%)51 (41.1%)50 (53.8%)
  High (6–7)3 (1.4%)2 (1.6%)1 (1.1%)
FactorsOverall (n = 217)Missed (n = 124)Non-missed (n = 93)p-value
Age (mean, SD)68.1 (11.6)69.3 (11.3)66.4 (11.8).69
Sex
 Male209 (96.3%)122 (98.4%)87 (93.5%).077
 Female8 (3.7%)2 (1.6%)6 (6.5%)
Race
 African American66 (30.4%)40 (32.3%)26 (28.0%).291
 American Indian2 (0.9%)02 (2.2%)
 Asian2 (0.9%)1 (0.8%)1 (1.1%)
 White140 (64.5%)78 (62.9%)62 (66.7%)
 Other1 (0.5%)01 (1.1%)
 Decline to Answer6 (2.8%)5 (4.0%)1 (1.1%)
Provider
 Physician166 (76.5%)94 (75.8%)72 (77.4%).975
 NP16 (7.4%)9 (7.3%)7(7.5%)
 PA14 (6.5%)8 (6.5%)6 (6.5%)
 Others21 (9.7%)13 (10.5%)8 (8.6%)
Presenting Symptom at ED index visit
 Headache87 (40.1%)40 (32.3%)47 (50.5%).012
 Dizziness109 (50.2%)73 (58.9%)36 (38.7%)
 Both21 (9.7%)11 (8.9%)10 (10.8%)
Top 5 discharge diagnoses noted at ED index visit
Headache (23.5%)Dizziness (28.2%)Headache (38.7%)N/A
Dizziness (22.1%)Headache (12.1%)Dizziness (13.9%)
Vertigo (10.1%)Vertigo (11.2%)Vertigo (8.6%)
Lightheadedness (5.5%)Lightheadedness (8.9%)Migraine (6.4%)
Migraine (5.1%)Benign paroxysmal positional vertigo (4.1%)Dizziness, headache (5.3%)
Type of Stroke Diagnosis
 Ischemic stroke146 (67.3%)88 (71.0%)58 (62.4%).272
 Hemorrhagic stroke27 (12.4%)16 (12.9%)11 (11.8%)
 Transient ischemic attack (TIA)42 (19.4%)19 (15.3%)23 (24.7%)
 Unspecified2 (0.9%)1 (0.8%)1 (1.1%)
Stroke Risk Predictors Score
 Dawson TIA scorea
  Low risk (<5.4)87 (40.1%)44 (35.5%)43 (46.2%).110
  High risk (>=5.4)130 (59.9%)80 (64.5%)50 (53.8%)
 ROSIER Scaleb
  Low risk (<=0)179 (82.5%)97 (78.2%)82 (88.2%).056
  High risk (>0)38 (17.5%)27 (21.8%)11 (11.8%)
 ABCD2 scorec
  Low (1–3)113 (52.1%)71 (57.3%)42 (45.2%).180
  Moderate (4–5)101 (46.5%)51 (41.1%)50 (53.8%)
  High (6–7)3 (1.4%)2 (1.6%)1 (1.1%)

Abbreviations: SD, standard deviation; TIA, transient ischemic attack;

a

TIA recognition tool.

b

Acute stroke recognition tool.

c

Stroke prediction tool following TIA.

Table 1.

Baseline Characteristics of Patients in Missed and Non-missed Groups

FactorsOverall (n = 217)Missed (n = 124)Non-missed (n = 93)p-value
Age (mean, SD)68.1 (11.6)69.3 (11.3)66.4 (11.8).69
Sex
 Male209 (96.3%)122 (98.4%)87 (93.5%).077
 Female8 (3.7%)2 (1.6%)6 (6.5%)
Race
 African American66 (30.4%)40 (32.3%)26 (28.0%).291
 American Indian2 (0.9%)02 (2.2%)
 Asian2 (0.9%)1 (0.8%)1 (1.1%)
 White140 (64.5%)78 (62.9%)62 (66.7%)
 Other1 (0.5%)01 (1.1%)
 Decline to Answer6 (2.8%)5 (4.0%)1 (1.1%)
Provider
 Physician166 (76.5%)94 (75.8%)72 (77.4%).975
 NP16 (7.4%)9 (7.3%)7(7.5%)
 PA14 (6.5%)8 (6.5%)6 (6.5%)
 Others21 (9.7%)13 (10.5%)8 (8.6%)
Presenting Symptom at ED index visit
 Headache87 (40.1%)40 (32.3%)47 (50.5%).012
 Dizziness109 (50.2%)73 (58.9%)36 (38.7%)
 Both21 (9.7%)11 (8.9%)10 (10.8%)
Top 5 discharge diagnoses noted at ED index visit
Headache (23.5%)Dizziness (28.2%)Headache (38.7%)N/A
Dizziness (22.1%)Headache (12.1%)Dizziness (13.9%)
Vertigo (10.1%)Vertigo (11.2%)Vertigo (8.6%)
Lightheadedness (5.5%)Lightheadedness (8.9%)Migraine (6.4%)
Migraine (5.1%)Benign paroxysmal positional vertigo (4.1%)Dizziness, headache (5.3%)
Type of Stroke Diagnosis
 Ischemic stroke146 (67.3%)88 (71.0%)58 (62.4%).272
 Hemorrhagic stroke27 (12.4%)16 (12.9%)11 (11.8%)
 Transient ischemic attack (TIA)42 (19.4%)19 (15.3%)23 (24.7%)
 Unspecified2 (0.9%)1 (0.8%)1 (1.1%)
Stroke Risk Predictors Score
 Dawson TIA scorea
  Low risk (<5.4)87 (40.1%)44 (35.5%)43 (46.2%).110
  High risk (>=5.4)130 (59.9%)80 (64.5%)50 (53.8%)
 ROSIER Scaleb
  Low risk (<=0)179 (82.5%)97 (78.2%)82 (88.2%).056
  High risk (>0)38 (17.5%)27 (21.8%)11 (11.8%)
 ABCD2 scorec
  Low (1–3)113 (52.1%)71 (57.3%)42 (45.2%).180
  Moderate (4–5)101 (46.5%)51 (41.1%)50 (53.8%)
  High (6–7)3 (1.4%)2 (1.6%)1 (1.1%)
FactorsOverall (n = 217)Missed (n = 124)Non-missed (n = 93)p-value
Age (mean, SD)68.1 (11.6)69.3 (11.3)66.4 (11.8).69
Sex
 Male209 (96.3%)122 (98.4%)87 (93.5%).077
 Female8 (3.7%)2 (1.6%)6 (6.5%)
Race
 African American66 (30.4%)40 (32.3%)26 (28.0%).291
 American Indian2 (0.9%)02 (2.2%)
 Asian2 (0.9%)1 (0.8%)1 (1.1%)
 White140 (64.5%)78 (62.9%)62 (66.7%)
 Other1 (0.5%)01 (1.1%)
 Decline to Answer6 (2.8%)5 (4.0%)1 (1.1%)
Provider
 Physician166 (76.5%)94 (75.8%)72 (77.4%).975
 NP16 (7.4%)9 (7.3%)7(7.5%)
 PA14 (6.5%)8 (6.5%)6 (6.5%)
 Others21 (9.7%)13 (10.5%)8 (8.6%)
Presenting Symptom at ED index visit
 Headache87 (40.1%)40 (32.3%)47 (50.5%).012
 Dizziness109 (50.2%)73 (58.9%)36 (38.7%)
 Both21 (9.7%)11 (8.9%)10 (10.8%)
Top 5 discharge diagnoses noted at ED index visit
Headache (23.5%)Dizziness (28.2%)Headache (38.7%)N/A
Dizziness (22.1%)Headache (12.1%)Dizziness (13.9%)
Vertigo (10.1%)Vertigo (11.2%)Vertigo (8.6%)
Lightheadedness (5.5%)Lightheadedness (8.9%)Migraine (6.4%)
Migraine (5.1%)Benign paroxysmal positional vertigo (4.1%)Dizziness, headache (5.3%)
Type of Stroke Diagnosis
 Ischemic stroke146 (67.3%)88 (71.0%)58 (62.4%).272
 Hemorrhagic stroke27 (12.4%)16 (12.9%)11 (11.8%)
 Transient ischemic attack (TIA)42 (19.4%)19 (15.3%)23 (24.7%)
 Unspecified2 (0.9%)1 (0.8%)1 (1.1%)
Stroke Risk Predictors Score
 Dawson TIA scorea
  Low risk (<5.4)87 (40.1%)44 (35.5%)43 (46.2%).110
  High risk (>=5.4)130 (59.9%)80 (64.5%)50 (53.8%)
 ROSIER Scaleb
  Low risk (<=0)179 (82.5%)97 (78.2%)82 (88.2%).056
  High risk (>0)38 (17.5%)27 (21.8%)11 (11.8%)
 ABCD2 scorec
  Low (1–3)113 (52.1%)71 (57.3%)42 (45.2%).180
  Moderate (4–5)101 (46.5%)51 (41.1%)50 (53.8%)
  High (6–7)3 (1.4%)2 (1.6%)1 (1.1%)

Abbreviations: SD, standard deviation; TIA, transient ischemic attack;

a

TIA recognition tool.

b

Acute stroke recognition tool.

c

Stroke prediction tool following TIA.

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