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Table 5 Workplace factors associated with high agreement with the evidence for tPA use in acute stroke care

From: Agreement with evidence for tissue Plasminogen Activator use among emergency physicians: a cross-sectional survey

Factors Crude odds ratio (95% CI) Adjusted odds ratio (95% CI) Adjusted p-value
How many ischaemic stroke patients are seen by the emergency department every fortnight 1.00 (0.98, 1.02) 0.99 (0.97, 1.02) 0.63
The proportion that are referred to a stroke care unit or neurology department 1.00 (0.99, 1.00) 0.99 (0.98, 1.00) 0.28
The proportion of ischaemic stroke patients who are currently treated with thrombolysis at the hospital 1.00 (0.99, 1.02) 1.01 (0.99, 1.03) 0.32
Does the hospital provide tPA treatment to eligible ischaemic stroke patients?
 Yes 1.08 (0.58, 2.00)   .
 No    
Does the hospital have arrangements in place to receive pre-hospital notification of stroke patients from the ambulance service?
 Yes 1.19 (0.69, 2.06) 1.02 (0.48, 2.18) 0.95
 No    
Does the hospital have a dedicated Stroke Care Unit?
 Yes 1.02 (0.57, 1.84) 0.72 (0.25, 2.03) 0.53
 No    
Does the hospital have an Intensive Care Unit?
 Yes 0.78 (0.28, 2.23) 2.46 (0.24, 24.87) 0.45
 No    
Does the hospital have advanced imaging facilities (perfusion CT and MRI)?
 Yes 1.16 (0.57, 2.36) 2.28 (0.62, 8.38) 0.21
 No    
The proportion of the emergency physicians at your hospital who routinely administer tPA treatment for eligible ischaemic stroke patients
 None 0.63 (0.35, 1.13) 0.96 (0.43, 2.11) 0.91
 Less than half/About half/Most/All    
Does the head of emergency department routinely administer tPA treatment for eligible ischaemic stroke patients?
 Yes 4.05 (1.88, 8.72) 3.87 (1.49, 10.04) 0.01
 No/I don’t know    
State
 NSW vs TAS 6.08 (0.77, 48.03)   
 Vic vs TAS 4.09 (0.52, 32.46)   
 QLD vs TAS 6.92 (0.87, 55.34)   
 SA vs TAS 4.50 (0.45, 44.55)   
 WA vs TAS 2.25 (0.22, 23.46)   
 NT vs TAS 0.00 (0.00, I)   
 ACT vs TAS 10.80 (0.91, 127.75)   
  1. 4th and 11th factors could not be included in the adjusted logistic regression model due to zero counts in some categories.
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