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Abstract Details

Do Gender and Race/Ethnicity Affect the Timing to CT-Head in Acute Stroke Patients?
Cerebrovascular Disease and Interventional Neurology
P4 - Poster Session 4 (5:30 PM-6:30 PM)
4-010
To determine if gender, race and ethnicity affects the timing of getting NCCT (non-contrast CT head) after the stroke code activation. 
Current AHA/ASA guidelines for the early management of patients suspected to have acute ischemic stroke (AIS) warrants brain imaging to be performed within 20 minutes of arrival in the ED in at least 50% of the patients who may be candidates for IV-tPA. Reducing the time to get NCCT helps reduce the time to receive tPA. We hypothesized that patient’s gender/demographics may potentially impact this crucial timing.

A retrospective chart review was performed in patients with AIS from 1/1/2016 to 8/31/2019 in a comprehensive stoke center. Only patients who received tPA were included to limit the confounding effect of last known well. Gender, primary language, race (Black, White, Asian, American Indian, Other), and Ethnicity were independent variables and the difference between the time of performing NCCT and stroke code activation was dependent variable. A t-test and one-way ANOVA were used to analyze the data.

133 patients met the inclusion criteria, Median age 63, 47.3% women. The mean NCCT time was 18 min (SD 7 min) and 16 min (SD 7 min) in women and men respectively which was not significantly different. Result of the ANOVA indicated there were not significant difference in NCCT timing between races (10.5% Caucasians, 61.7% African Americans, 0.8% American Indian, 27.1% other). Although not statistically significant, NCCT timing was longer in patients whose primary language was not English (16.5%).

Our study shows that there is not a statistically significant relationship between gender/race/primary language and NCCT time. However, the timing is increased in female gender, African Americans and patients whose primary language is not English. A larger study is needed for further analysis of the findings.

Authors/Disclosures
Sara Shapouran, MD (Montefiore)
PRESENTER 		Dr. Shapouran has nothing to disclose.
Roberto Gomez, MD (Rutgers New Jersey Medical School Department of Neurology) Dr. Gomez has nothing to disclose.
Andrea Hidalgo, MD (Rutgers New Jersey Medical School) Dr. Hidalgo has nothing to disclose.