{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T13:25:44Z","timestamp":1772803544031,"version":"3.50.1"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T00:00:00Z","timestamp":1623628800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> In the Netherlands, a digital decision support system for telephone triage at out-of-hours services in primary care (OHS-PC) is used. Differences in help-seeking behavior between men and women when transient ischemic attack (TIA) or stroke is suspected could potentially affect telephone triage and allocation of urgency.<\/jats:p><jats:p><jats:bold>Aim:<\/jats:bold> To assess patient and call characteristics and allocated urgencies between women and men who contacted OHS-PC with suspected TIA\/stroke.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A cross-sectional study of 1,266 telephone triage recordings of subjects with suspected neurological symptoms calling the OHS-PC between 2014 and 2016. The allocated urgencies were derived from the electronic medical records of the OHS-PC and the final diagnosis from the patient's own general practitioner, including diagnoses based on hospital specialist letters.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Five hundred forty-six men (mean age = 67.3 \u00b1 17.1) and 720 women (mean age = 69.6 \u00b1 19.5) were included. TIA\/stroke was diagnosed in 294 men (54%) (mean age = 72.3 \u00b1 13.6) and 366 women (51%) (mean age = 78.0 \u00b1 13.8). In both genders, FAST (face-arm-speech test) symptoms were common in TIA\/stroke (men 78%, women 82%) but also in no TIA\/stroke (men 63%, women 62%). Men with TIA\/stroke had shorter call durations than men without TIA\/stroke (7.10 vs. 8.20 min, <jats:italic>p<\/jats:italic> = 0.001), whereas in women this difference was smaller and not significant (7.41 vs. 7.56 min, <jats:italic>p<\/jats:italic> = 0.41). Both genders were allocated high urgency in 75% of the final TIA\/stroke cases.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Overall, patient and call characteristics are mostly comparable between men and women, and these only modestly assist in identifying TIA\/stroke. There were no gender differences in allocated urgencies after telephone triage in patients with TIA\/stroke.<\/jats:p>","DOI":"10.3389\/fneur.2021.669090","type":"journal-article","created":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T06:15:16Z","timestamp":1623651316000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Call Characteristics of Patients Suspected of Transient Ischemic Attack (TIA) or Stroke During Out-of-Hours Service: A Comparison Between Men and Women"],"prefix":"10.3389","volume":"12","author":[{"given":"Lieza G.","family":"Exalto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sander","family":"van Doorn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. 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