Table 2: Factors associated with timely receipt of neuroimaging among patients with suspected acute stroke who presented within 4 hours after symptom onset
FactorHazard ratio (95% CI)
Time from symptom onset to arrival at hospital, h (v.  ≤ 0.5 h)
    > 0.5-1.01.59 (1.21-2.08)
    > 1.0-1.51.55 (1.18-2.05)
    > 1.5-2.01.37 (1.02-1.84)
    > 2.0-3.01.31 (0.96-1.77)
    > 3.0-4.00.81 (0.56-1.19)
Age group, yr (v.  80)
    18-441.13 (0.79-1.61)
    45-641.16 (0.98-1.39)
    65-791.06 (0.91-1.24)
NIHSS score (v.  4)
    NIHSS > 43.54 (3.09-4.05)
    Missing2.21 (1.61-3.05)
Female sex0.76 (0.67-0.86)
Income quintile (v. 1, lowest)
    21.10 (0.91-1.34)
    31.19 (0.97-1.45)
    41.15 (0.94-1.40)
    5 (highest)1.18 (0.97-1.44)
Preferred language (v. English)
    Other1.06 (0.86-1.30)
    UTD0.82 (0.55-1.22)
Not living independently before admission0.85 (0.72-1.01)
Medical history
    Stroke, TIA, ICH0.78 (0.67-0.89)
    Carotid therapy0.66 (0.38-1.13)
    Diabetes mellitus0.96 (0.82-1.10)
    Hypertension1.11 (0.95-1.28)
    Hyperlipidemia1.01 (0.88-1.15)
    Dementia0.95 (0.74-1.21)
    Other cardiovascular disease1.08 (0.94-1.24)
Presentation
Outside business hours1.07 (0.94-1.22)
Arrived to hospital from (v. from home)
    Nursing, retirement home or complex continuing care1.21 (0.94-1.56)
    Other1.90 (0.77-4.67)
    Missing or UTD0.44 (0.24-0.81)
Hospital
Type (v. nondesignated hospital)
    Regional stroke centre5.60 (2.70-11.62)
    District stroke centre6.78 (3.66-12.56)
Rural location (v. urban)0.08 (0.02-0.36)
Annual stroke volume (v. high)
    Medium (101-200)1.06 (0.54-2.05)
    Low ( 00)2.73 (1.00-7.47)

Note: CI = confidence interval, ICH = intracranial hemorrhage, NIHSS = National Institutes of Health Stroke Scale, ref = reference category, TIA = transient ischemic attack, UTD = unable to determine.