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Table 2 In-hospital ECG-monitoring and cardiac imaging according to routine diagnostic care during the in-hospital stay after the index stroke by stroke unit levels

From: Extent of routine diagnostic cardiac work-up at certified German stroke units participating in the prospective MonDAFIS study

 

University-based comprehensive stroke centre (n = 1606)

Non univ.-based comprehensive stroke centre (n = 892)

Primary stroke centre (n = 933)

p-value

ECG in hospital

    

 12-channel ECG, (median [IQR])

1 [1,1]

1 [1,1]

1 [1,1]

 

  0 ECG, 12-channel

42 (2.7)

5 (0.6)

19 (2.0)

< 0.001

  1 ECG, 12-channel

1,469 (92.7)

781 (88.4)

799 (85.8)

 

  ≥ 2 ECG, 12-channel

73 (4.6)

97 (11.0)

113 (12.1)

 

 24-h Holter-ECG, n (median [IQR])

0 [0,1]

1 [0,1]

1 [1,1]

 

  0 Holter-ECG, 24-h

838 (52.9)

257 (29.1)

152 (16.3)

< 0.001

  1 Holter-ECG, 24-h

702 (44.3)

599 (67.9)

572 (61.4)

 

  ≥ 2 Holter-ECG, 24-h

43 (2.7)

26 (2.9)

207 (22.2)

 

 Stroke Unit-Monitoring, h (median [IQR])

74 [48,89]

60 [28,74]

73 [45,90]

 

  ≤ 24 h

64 (4.1)

89 (10.1)

26 (2.8)

< 0.001

  > 24 to ≤ 72 h

617 (39.1)

525 (59.8)

400 (43.0)

 

  > 72 h

895 (56.8)

264 (30.1)

505 (54.2)

 

Automated AF detection during stroke unit monitoring, n (%)

438 (27.3)

244 (27.4)

519 (55.6)

< 0.001

Daily rhythm visit @ stroke unit, n (%)

1,327 (82.6)

642 (72.0)

741 (79.4)

< 0.001

Echocardiography, n (%)

1,167 (74.0)

753 (85.4)

841 (90.3)

< 0.001

 No echocardiography

411 (26.0)

129 (14.6)

90 (9.7)

 

 Transthoracic, n (%)

500 (31.1)

286 (32.1)

442 (47.4)

 

 Transesophageal ± transthoracic, n (%)

667 (42.3)

467 (52.9)

399 (42.9)

 

Implanted devices during in-hospital stay

    

 Pacemaker, n (%)

2 (0.1)

1 (0.1)

3 (0.3)

0.569

 Loop-Recorder, n (%)

10 (0.6)

10 (1.1)

76 (8.2)

< 0.001

  1. Data are n (%), mean (SD), or median [IQR]. H hour
  2. P values stem from exact Fisher’s Tests