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Cited 14 time in webofscience Cited 14 time in scopus
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Weekend Admission in Patients with Acute Ischemic Stroke Is Not Associated with Poor Functional Outcome than Weekday Admissionopen access

Authors
Kim, Sang-ChulHong, Keun-SikHwang, Seon-IlKim, Ji-EunKim, Ah-RoCho, Joong-YangPark, Hee KyungPark, Ji-HyunKoo, Ja-SeongPark, Jong-MooBae, Hee-JoonHan, Moon-KuKang, Dong-WhaOh, Mi-SunYu, Kyung-HoLee, Byung-ChulLee, Ji-SungCho, Yong-Jin
Issue Date
Dec-2012
Publisher
KOREAN NEUROLOGICAL ASSOC
Keywords
weekend effect; weekend admission; ischemic stroke
Citation
JOURNAL OF CLINICAL NEUROLOGY, v.8, no.4, pp 265 - 270
Pages
6
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF CLINICAL NEUROLOGY
Volume
8
Number
4
Start Page
265
End Page
270
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/35001
DOI
10.3988/jcn.2012.8.4.265
ISSN
1738-6586
2005-5013
Abstract
Background and Purpose Stroke requires consistent care, but there is concern over the "weekend effect", whereby a weekend admission results in a poor outcome. Our aim was to determine the impact of weekend admission on clinical outcomes in patients with acute ischemic stroke in Korea. Methods The outcomes of patients admitted on weekdays and weekends were compared by analyzing data from a prospective outcome registry enrolling 1247 consecutive patients with acute ischemic stroke admitted to four neurology training hospitals in South Korea between September 2004 and August 2005. The primary outcome was a poor functional outcome at 3 months, defined as modified Rankin Scale (mRS) of 3-6. Secondary outcomes were 3-month mortality, use of thrombolysis, complication rate, and length of hospitalization. Shift analysis was also performed to compare overall mRS distributions. Results On weekends, 334 (26.8%) patients were admitted. Baseline characteristics were comparable between the weekday and weekend groups except for more history of heart disease and shorter admission time in weekend group. Univariate analysis revealed poor functional outcome at 3 months, 3-month mortality, complication rate, and length of hospitalization did not differ between the two groups. In addition, overall mRS distributions were comparable (p=0.865). After adjusting for baseline factors and stroke severity, weekend admission was not associated with poor functional outcome at 3 months (adjusted odds ratio, 1.05; 95% CI, 0.74-1.50). Furthermore, none of secondary endpoints differed between the two groups in multivariate analysis. Conclusions Weekend admission was not associated with poor functional outcome than weekday admission in patients with acute ischemic stroke in this study. The putative weekend effect should be explored further by considering a wider range of hospital settings and hemorrhagic stroke. J Clin Neurol 2012;8:265-270
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