The influence of the day of the week of hospital admission on the prognosis of stroke patients
Main Author: | |
---|---|
Publication Date: | 2013 |
Other Authors: | , , , |
Format: | Article |
Language: | eng |
Source: | Cadernos de Saúde Pública |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000400014 |
Summary: | This study aimed to evaluate the weekday and weekend distribution of stroke case hospital admissions and their respective prognosis based on a sample from the Estudo de Mortalidade e Morbidade do Acidente Vascular Cerebral (EMMA), a cohort of stroke patients admitted to a community hospital in the city of São Paulo, Brazil. We ascertained all consecutive cases of first-time strokes between April 2006 and December 2008 and performed a subsequent one-year follow-up. No association was found between frequency of hospital admissions due to ischemic and hemorrhagic strokes and the specific day of the week on which the admission occurred. However, ten-day and twelve-month case-fatality was higher in hemorrhagic stroke patients admitted at the weekend. We also found that intracerebral hemorrhage patients admitted on weekends had a worse survival rate (50%) compared with those admitted during weekdays (25.6%, P log-rank = 0.03). We found a multivariate hazard ratio of 2.49 (95%CI: 1.10-5.81, P trend = 0.03) for risk of death at the weekend compared to weekdays for intracerebral hemorrhage cases. No difference in survival was observed with respect to the overall sample of stroke or ischemic stroke patients. |
id |
FIOCRUZ-5_d72785f80e0a9403ee3cce6dace7f65a |
---|---|
oai_identifier_str |
oai:scielo:S0102-311X2013000400014 |
network_acronym_str |
FIOCRUZ-5 |
network_name_str |
Cadernos de Saúde Pública |
repository_id_str |
|
spelling |
The influence of the day of the week of hospital admission on the prognosis of stroke patientsStrokeSurvivalPatient AdmissionThis study aimed to evaluate the weekday and weekend distribution of stroke case hospital admissions and their respective prognosis based on a sample from the Estudo de Mortalidade e Morbidade do Acidente Vascular Cerebral (EMMA), a cohort of stroke patients admitted to a community hospital in the city of São Paulo, Brazil. We ascertained all consecutive cases of first-time strokes between April 2006 and December 2008 and performed a subsequent one-year follow-up. No association was found between frequency of hospital admissions due to ischemic and hemorrhagic strokes and the specific day of the week on which the admission occurred. However, ten-day and twelve-month case-fatality was higher in hemorrhagic stroke patients admitted at the weekend. We also found that intracerebral hemorrhage patients admitted on weekends had a worse survival rate (50%) compared with those admitted during weekdays (25.6%, P log-rank = 0.03). We found a multivariate hazard ratio of 2.49 (95%CI: 1.10-5.81, P trend = 0.03) for risk of death at the weekend compared to weekdays for intracerebral hemorrhage cases. No difference in survival was observed with respect to the overall sample of stroke or ischemic stroke patients.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2013-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000400014Cadernos de Saúde Pública v.29 n.4 2013reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2013000400014info:eu-repo/semantics/openAccessBarros,Juliana B.Goulart,Alessandra CarvalhoAlencar,Airlane P.Lotufo,Paulo A.Bensenor,Isabela M.eng2013-04-04T00:00:00Zoai:scielo:S0102-311X2013000400014Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2013-04-04T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
The influence of the day of the week of hospital admission on the prognosis of stroke patients |
title |
The influence of the day of the week of hospital admission on the prognosis of stroke patients |
spellingShingle |
The influence of the day of the week of hospital admission on the prognosis of stroke patients Barros,Juliana B. Stroke Survival Patient Admission |
title_short |
The influence of the day of the week of hospital admission on the prognosis of stroke patients |
title_full |
The influence of the day of the week of hospital admission on the prognosis of stroke patients |
title_fullStr |
The influence of the day of the week of hospital admission on the prognosis of stroke patients |
title_full_unstemmed |
The influence of the day of the week of hospital admission on the prognosis of stroke patients |
title_sort |
The influence of the day of the week of hospital admission on the prognosis of stroke patients |
author |
Barros,Juliana B. |
author_facet |
Barros,Juliana B. Goulart,Alessandra Carvalho Alencar,Airlane P. Lotufo,Paulo A. Bensenor,Isabela M. |
author_role |
author |
author2 |
Goulart,Alessandra Carvalho Alencar,Airlane P. Lotufo,Paulo A. Bensenor,Isabela M. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Barros,Juliana B. Goulart,Alessandra Carvalho Alencar,Airlane P. Lotufo,Paulo A. Bensenor,Isabela M. |
dc.subject.por.fl_str_mv |
Stroke Survival Patient Admission |
topic |
Stroke Survival Patient Admission |
description |
This study aimed to evaluate the weekday and weekend distribution of stroke case hospital admissions and their respective prognosis based on a sample from the Estudo de Mortalidade e Morbidade do Acidente Vascular Cerebral (EMMA), a cohort of stroke patients admitted to a community hospital in the city of São Paulo, Brazil. We ascertained all consecutive cases of first-time strokes between April 2006 and December 2008 and performed a subsequent one-year follow-up. No association was found between frequency of hospital admissions due to ischemic and hemorrhagic strokes and the specific day of the week on which the admission occurred. However, ten-day and twelve-month case-fatality was higher in hemorrhagic stroke patients admitted at the weekend. We also found that intracerebral hemorrhage patients admitted on weekends had a worse survival rate (50%) compared with those admitted during weekdays (25.6%, P log-rank = 0.03). We found a multivariate hazard ratio of 2.49 (95%CI: 1.10-5.81, P trend = 0.03) for risk of death at the weekend compared to weekdays for intracerebral hemorrhage cases. No difference in survival was observed with respect to the overall sample of stroke or ischemic stroke patients. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000400014 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000400014 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-311X2013000400014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.29 n.4 2013 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115733341601792 |