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Supplemental Digital Content 1Mozaffarian D, Benjamin E, Mackey R, et al. Executive Summary: Heart Disease and Stroke Statistics--2016 Update: A Report From the American Heart Association. Circulation. 2016;133(4):447-454. Itzhaki M, Melnikov S, Koton S. Gender differences in feelings and knowledge about stroke. J Clin Nurs. 2016;25(19/20):2958-2966. Madsen T, Khoury J, Kleindorfer D, et al. Potentially Missed Diagnosis of Ischemic Stroke in the Emergency Department in the Greater Cincinnati/Northern Kentucky Stroke Study. Acad Emerg Med. 2016;23(10):1128-1135. Arch A, Weisman D, Wira C, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3):668-673.Gibson, CL. Cerebral ischemic stroke: is gender important?. J Cereb Blood Flow Metab. 2013;33(9):1355-61.Mochari-Greenberger H, Towfighi A, Mosca L. National women's knowledge of stroke warning signs, overall and by race/ethnic group. Stroke. 2014;45(4):1180-1182.Fothergill R, Williams J, Edwards M, Russell I, Gompertz P. Does use of the recognition of stroke in the emergency room stroke assessment tool enhance stroke recognition by ambulance clinicians?. Stroke. 2013;44(11):3007-3012.Dupre C, Libman R, Dupre S, Katz J, Rybinnik I, Kwiatkowski T. Stroke chameleons. J Stroke Cerebrovasc Dis. 2014;23(2):374-378.Lever N, Nystr??m K, Schindler J, Halliday J, Wira C, Funk M. Missed Opportunities for Recognition of Ischemic Stroke in the Emergency Department. JEN: J Emerg Nurs. 2013;39(5):434-439.Berglund A, Heikkil? K, Bohm K, Schenck-Gustafsson K, Euler M. Factors facilitating or hampering nurses identification of stroke in emergency calls. J Adv Nurs. 2015;71(11):2609-2621Hodell E, Hughes S, Govindarajan P, et al. Paramedic Perspectives on Barriers to Prehospital Acute Stroke Recognition. Prehosp Emerg Care. 2016;20(3):415-424.Oostema J, Nasiri M, Chassee T, Reeves M. The quality of prehospital ischemic stroke care: compliance with guidelines and impact on in-hospital stroke response. J Stroke Cerebrovasc Dis. 2014;23(10):2773-2779.Chen S, Sun H, Lei Y, et al. Validation of the Los Angeles pre-hospital stroke screen (LAPSS) in a Chinese urban emergency medical service population. PLoS One. 2013;8(8):e70742.Asimos A, Ward S, Brice J, Rosamond W, Goldstein L, Studnek J. Out-of-Hospital Stroke Screen Accuracy in a State With an Emergency Medical Services Protocol for Routing Patients to Acute Stroke Centers. Ann Emerg Med.. 2014;64(5):509-515.Katz B, McMullan J, Sucharew H, Adeoye O, Broderick J. Design and validation of a prehospital scale to predict stroke severity: Cincinnati Prehospital Stroke Severity Scale. Stroke. 2015;46(6):1508-1512.Purrucker J, Hametner C, Engelbrecht A, Bruckner T, Popp E, Poli S. Comparison of stroke recognition and stroke severity scores for stroke detection in a single cohort. J Neurol Neurosurg Psychiatry. 2015;86(9):1021-1028.Rudd M, Buck D, Ford G, Price C. A systematic review of stroke recognition instruments in hospital and prehospital settings. Emerg Med J. 2016;33(11):818-822.Brandler E, Sharma M, Sinert R, Levine S. Prehospital stroke scales in urban environments: a systematic review. Neurology. 2014;82(24):2241-2249.Madsen TE, Choo EK, Seigel TA, Palms D, Silver B. Lack of gender disparities in emergency department triage of acute stroke patients. West J Emerg Med. 2015;16(1):203.Park S, Shin S, Ro Y, Song K, Oh J. Gender differences in emergency stroke care and hospital outcome in acute ischemic stroke: a multicenter observational study. Am J Emerg Med.. 2013;31(1):178-184.Kes VB, Jura?i? MJ, Zavoreo I, Lisak M, Jelec V, Matovina LZ. Acta clinica Croatica. Age and gender Differences in Acute Stroke Hospital Patients. Acta Clinica Croatica. 2016 Mar 1;55(1):69-78.Aziz ZA, Lee YY, Sidek NN, et al. Gender disparities and thrombolysis use among patient with first-ever ischemic stroke in Malaysia. Neurol Res. 2016 May 3;38(5):406-13.Li O, Silver F, Fang J, et al. Sex Differences in the Presentation, Care, and Outcomes of Transient Ischemic Attack: Results From the Ontario Stroke Registry. Stroke. 2016;47(1):255-257.Wang L, Chao Y, Zhao X, et al. Factors associated with delayed presentation in patients with TIA and minor stroke in China: analysis of data from the China National Stroke Registry (CNSR). Neurol Res. 2013;35(5):517-21.Newman-Toker DE, Moy E, Valente E, Coffey R, Hines AL. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. Diagnosis. 2014;1(2):155-66. ................
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