biostudies-literatureHagberg GSwedish governmentSwedish Research Councile000574https://www.ebi.ac.uk/biostudies/studies/S-EPMC11029396biostudies-literatureUnknown6(1)<h4>Background</h4>The shift towards milder strokes and studies suggesting that stroke symptoms vary by age and sex may challenge the Face-Arm-Speech Time (FAST) coverage. We aimed to study the proportion of stroke cases admitted with FAST symptoms, sex and age differences in FAST presentation and explore any additional advantage of including new item(s) from the National Institute of Health Stroke Scale (NIHSS) to the FAST algorithm.<h4>Methods</h4>This registry-based study included patients admitted with acute stroke to Sahlgrenska University Hospital (November 2014 to June 2019) with NIHSS items at admission. FAST symptoms were extracted from the NIHSS at admission, and sex and age differences were explored using descriptive statistics.<h4>Results</h4>Of 5022 patients, 46% were women. MBMJ neurology openThe precision by the Face Arm Speech Time (FAST) algorithm in stroke capture, sex and age differences: a stroke registry study.PMC11029396VR 2017-00946ALFGBG-965653Reinholdsson MIhle-Hansen HStibrant Sunnerhagen KAbzhandadze THagberg GViktorisson AfalseThe precision by the Face Arm Speech Time (FAST) algorithm in stroke capture, sex and age differences: a stroke registry study.<h4>Background</h4>The shift towards milder strokes and studies suggesting that stroke symptoms vary by age and sex may challenge the Face-Arm-Speech Time (FAST) coverage. We aimed to study the proportion of stroke cases admitted with FAST symptoms, sex and age differences in FAST presentation and explore any additional advantage of including new item(s) from the National Institute of Health Stroke Scale (NIHSS) to the FAST algorithm.<h4>Methods</h4>This registry-based study included patients admitted with acute stroke to Sahlgrenska University Hospital (November 2014 to June 2019) with NIHSS items at admission. FAST symptoms were extracted from the NIHSS at admission, and sex and age differences were explored using descriptive statistics.<h4>Results</h4>Of 5022 patients, 46% were women. M2024-01-01T00:00:00Z20242026-06-04T00:21:24.202Z2026-05-03T03:12:08.347ZS-EPMC110293963864650610.1136/bmjno-2023-000574