Table 2 Stage 3 (Phase 2) Expert panel ranking exercise results (n = 6)
Attribute | Mean rank (SD)a | Median | Suggested levels |
|---|---|---|---|
Systolic BP | 1.67 (1.2) | 1 | • 140 mm/Hg |
• 175 mm/Hg | |||
• 180 mm/Hg | |||
• 185 mm/Hg | |||
• 200 mm/Hg | |||
Pre-stroke dependency status | 4 (2.6) | 4 | • mRS 1 |
• mRS 2 | |||
• mRS 3 | |||
• mRS 4 | |||
Pre-stroke cognitive status | 5.33 (2.6) | 5.5 | • No impairment |
• Mild impairment | |||
• Moderate impairment | |||
• Severe impairment | |||
Stroke Severity (NIHSS) | 6.5 (2.9) | 7 | • NIHSS 2 |
• NIHSS 3 | |||
• NIHSS 5 | |||
• NIHSS 23 | |||
• NIHSS 25/26/27 | |||
SBP (after reducing) | 6.6 (4.7) | 5 | • 185 mm/Hg |
• 190 mm/Hg | |||
• 200 mm/Hg | |||
INR/Anticoagulation | 6.7 (2.7) | 5.5 | • < 1.6 |
• < 1.7 | |||
• < 1.8 | |||
• 2 | |||
Diastolic BP | 6.8 (5.2) | 6 | • 100 mm/Hg |
• 110 mm/Hg | |||
• 115 mm/Hg | |||
• 120 mm/Hg | |||
Frailty | 6.8 (3.9) | 7 | • Composite measure using comorbidities, description of needs (i.e., walking stick) |
• “patient you [do not] perceive as frail” | |||
Time since symptom onset | 7.8 (6.1) | 7 | • < 1 h |
• < 3 h | |||
• 4 h | |||
• 4 h 15/20 mins | |||
Recent major surgery | 8.3 (3.6) | 7.5 | • Percutaneous coronary intervention |
• Hip replacement | |||
• Laparotomy | |||
Previous stroke | 9.2 (4.3) | 10.5 | • Combine with stroke severity? |
• 2 weeks ago | |||
• 4 weeks ago | |||
• 3 months ago | |||
Comorbidities | 9.8 (2.6) | 10 | • Disability-related |
• Chronic disease | |||
• Illness presenting bleeding risk | |||
Blood glucose level (mmol/L) | 10.8 (3.1) | 11 | • 16/19 |
• 22 | |||
• 25 | |||
• 27 | |||
Patient/relative preferences | 11.4 (2.6) | 12 | • No family present |
• Family present and eager for patient to be treated | |||
• Family present and worried about bleeding risk | |||
Willingness to treat blood glucose | 11.6 (3.7) | 11 | • Option to treat before thrombolysis decision |
• Option to present already treated level | |||
Patient age | 12.7 (5.7) | 14.5 | • 62/68/75 |
• 80 / 8585 | |||
• 95 | |||
Social support | 15 (3.1) | 16 | • Indicator of dependency? |
• Use as part of frailty composite measure? | |||
Presence of diabetes | 15.4 (2.4) | 16 | • No history of diabetes |
• Patient has diabetes |