干旱区生态环境知识资源中心(Arid): The weekend effect for stroke patients admitted to intensive care: A retrospective cohort analysis

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DOI	10.1371/journal.pone.0234521
	The weekend effect for stroke patients admitted to intensive care: A retrospective cohort analysis
	Mitchell, William Greig 1; Pande, Rohit 2; Robinson, Tom Edward 3; Jones, Gabriel Davis 4; Hou, Isabella 5; Celi, Leo Anthony 6
通讯作者	Mitchell, William Greig
来源期刊	PLOS ONE
ISSN	1932-6203
出版年	2020
卷号	15 期号:6
英文摘要	Objectives To examine the effect of weekend admission on short and long-term morbidity and mortality, for patients admitted to intensive care after suffering a cerebrovascular accident (stroke). Design, setting, and participants A hospital-wide, retrospective cohort study of 3,729 adult stroke patients admitted to the Beth Israel Deaconess Medical Centre (BIDMC) intensive care unit (ICU) between 2001 and 2012, using the Medical Information Mart for Intensive Care III (MIMIC-III) database. Primary outcome measures Primary outcome measures were ICU length-of-stay and mortality, hospital length-of-stay and mortality, proportions of patients discharged home after admission, and 6-month mortality. Results Overall, 23% of BIDMC ICU stroke admissions occurred over the weekend. Those admitted over the weekend were likelier to have suffered haemorrhagic stroke than those admitted during the week (60.6% vs 47.9%). Those admitted on the weekend were younger, and likelier to be male and unmarried, with similar ethnic representation. The OASIS severity of illness (32.5 vs. 32) and lowest day-one GCS (12.6 vs. 12.9) were similar between groups. Unadjusted ICU-mortality was significantly higher for patients admitted over the weekend (OR 1.32, CI 1.08-1.61), but when adjusted for type of stroke, became non-significant (OR 1.17, CI 0.95-1.44). In-hospital mortality was significantly higher for patients admitted to ICU over the weekend in both unadjusted (OR 1.45, CI 1.22-1.73) and adjusted (OR 1.31, CI 1.09-1.58) analyses. There was no significant difference in ICU or hospital length of stay. While patients admitted on the weekend appeared less likely to be discharged back to home and more at risk of 6-month mortality compared to weekday admissions, results were non-significant. Conclusions The effect of weekend ICU-admission for stroke patients appears to be significant for in-hospital mortality. There were no significant differences in adjusted ICU-mortality, ICU or hospital length-of-stay, or longer-term morbidity and mortality measures.
类型	Article
语种	英语
国家	USA ; New Zealand ; England
开放获取类型	Green Published, gold
收录类别	SCI-E
WOS记录号	WOS:000542969500046
WOS关键词	IN-HOSPITAL MORTALITY ; ADMISSION ; OUTCOMES ; ICU ; ASSOCIATION ; SEVERITY ; UNITS
WOS类目	Multidisciplinary Sciences
WOS研究方向	Science & Technology - Other Topics
来源机构	University of Oxford
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/319733
作者单位	1.Harvard TH Chan Sch Publ Hlth, Boston, MA 02115 USA; 2.Whitireia Community Polytech, Porirua, New Zealand; 3.Univ Auckland, Auckland, New Zealand; 4.Univ Oxford, Oxford, England; 5.Southern Cross Hlth Soc, Auckland, New Zealand; 6.MIT, Harvard Med Sch, Beth Israel Deaconess Med Ctr, 77 Massachusetts Ave, Cambridge, MA 02139 USA
推荐引用方式 GB/T 7714	Mitchell, William Greig,Pande, Rohit,Robinson, Tom Edward,et al. The weekend effect for stroke patients admitted to intensive care: A retrospective cohort analysis[J]. University of Oxford,2020,15(6).
APA	Mitchell, William Greig,Pande, Rohit,Robinson, Tom Edward,Jones, Gabriel Davis,Hou, Isabella,&Celi, Leo Anthony.(2020).The weekend effect for stroke patients admitted to intensive care: A retrospective cohort analysis.PLOS ONE,15(6).
MLA	Mitchell, William Greig,et al."The weekend effect for stroke patients admitted to intensive care: A retrospective cohort analysis".PLOS ONE 15.6(2020).