Emergency medical services utilization in acute stroke in Qatar - an observational cohort study

Table 3 Association of emergency medical services utilization with management and outcomes in acute stroke care

Variables	Category	Relative odds of outcomes in patients utilizing EMS as mode of transportation
Variables	Category	Unadjusted Odds Ratio	p-value	95% CI	Adjusted Odds Ratio	p-value	95% CI
DNT, (n = 783)		-19.3⁺	< 0.001	-26.5, -12.9	-19.0^	< 0.001	-26.2, -11.8
Thrombolysis		2.65	< 0.001	2.19–3.19	2.10	< 0.001	1.72–2.57
Thrombectomy		3.32	< 0.001	2.35–4.69	2.25	< 0.001	1.55–3.28
Disposition	Home as Ref
	Rehab	2.71*	< 0.001	2.38–3.08	1.71	< 0.001	1.48–1.98
	Long term care	2.76	< 0.001	2.10–3.59	1.24	0.18	0.90–1.70
	Died in Hospital	2.17	< 0.001	1.64–2.87	0.77	0.16	0.54–1.11
	Other specialty	1.49	< 0.001	1.30–1.71	1.22	< 0.01	1.05–1.41
Length of stay, days		1.42⁺	< 0.001	1.08–1.76	-0.05^{^}	0.74	-0.37, 0.26
Favorable outcome at discharge	mRS 0–2	0.42	< 0.001	0.38–0.46	0.60	< 0.001	0.54–0.67
Favorable outcome at 90 days	mRS 0–2	0.38	< 0.001	0.34–0.43	0.58	< 0.001	0.49–0.67

P values are derived from logistic regression models with adjusted odds ratio and adjusted mean differences
*Adjusted for age, sex, ethnicity, diagnosis, NIHSS score (stroke severity) at admission, diabetes, hypertension, dyslipidemia, deep vein thrombosis, prior coronary artery disease, atrial fibrillation, congestive heart failure, chronic kidney disease, and prior history of stroke and TIA
+Unadjusted mean difference
^Adjusted mean difference

ISSN: 1865-1380