In reply: We thank Kilkenny and colleagues1 for their comments on our article.2 Kilkenny and colleagues examined sex differences in pre‐hospital management among 6262 patients with first‐ever strokes from the Australian Stroke Clinical Registry (2010–2013) linked with administrative data (emergency, hospital admissions).3 They found that more women (78.8%) arrived by ambulance than men (72.9%); however, following adjustments for age, frailty and stroke severity, the sex differences were no longer statistically significant.
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- 1. Kilkenny M, Eliakundu AL, Kim J. Differences in the pre‐hospital management of women and men with stroke by emergency medical services in New South Wales [letter]. Med J Aust 2023; 218: 96.
- 2. Wang X, Carcel C, Hsu B, et al. Differences in the pre‐hospital management of women and men with stroke by emergency medical services in New South Wales. Med J Aust 2022; 217: 143‐148. https://www.mja.com.au/journal/2022/217/3/differences‐pre‐hospital‐management‐women‐and‐men‐stroke‐emergency‐medical
- 3. Eliakundu AL, Cadilhac DA, Kim J, et al. Factors associated with arrival by ambulance for patients with stroke: a multicentre, national data linkage study. Australas Emerg Care 2021; 24: 167‐173.
- 4. Eliakundu AL, Cadilhac DA, Kim J, et al. Determining the sensitivity of emergency dispatcher and paramedic diagnosis of stroke: statewide registry linkage study. J Am Coll Emerg Physicians Open 2022; 3: e12750.
No relevant disclosures.