ABSTRACT NUMBER: ESOC2026A1944 QUALITY OF CARE IN ISCHEMIC STROKE: ANALYSIS OF QUALITY INDICATORS ACCORDING TO GENDER IN A BRAZILIAN TERTIARY CARE CENTER

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