Abstract Background and aims ischemic stroke (IS) is one of the leading causes of mortality worldwide. Quality indicators are used to monitor effectiveness, safety, and equity in IS management. Objective: To analyze the performance of quality indicators in patients with ischemic stroke treated at a Brazilian hospital, comparing female and male patients. Methods Medical records of patients with ischemic stroke were reviewed. Variables included door-to-needle time, door-to-imaging time, symptom onset–to–hospital arrival interval, performance of specific treatments, and clinical outcomes. Results A total of 488 patients admitted between 2017 and 2023 were analyzed. Most patients were female (53.1%) and White (60%). Men presented higher systolic blood pressure at admission (150 mmHg, p = 0.0117). The median time from symptom onset to hospital arrival was 4 hours (interquartile range IQR 120–720 minutes), and the median door-to-imaging time was 44.5 minutes (IQR 27–92), with no differences between sexes. Quality indicators, including early antithrombotic therapy and venous thromboembolism prophylaxis were achieved in 99% of cases. There was no difference in NIHSS scores at admission (8 IQR 4–15 in women vs. 8 IQR 3–15 in men; p = 0.82) or at discharge (4 IQR 2–10 vs. 5 IQR 2–12; p = 0.47); however, both sexes showed significant improvement from admission to discharge (p 0.001). Thrombectomy occurred in 10.2% of women and 9.2% of men. Thrombolysis occurred in 14.3% of women and 16.7% of men. Conclusions Quality indicators demonstrated high adherence to best practices in ischemic stroke management, with no significant differences between sex. Conflict of interest nada a declarar
Cruz et al. (Fri,) studied this question.