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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 Greig1; Pande, Rohit2; Robinson, Tom Edward3; Jones, Gabriel Davis4; Hou, Isabella5; Celi, Leo Anthony6 | |
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). |
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