Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 782-789 |
| Journal | Journal of neurology |
| Volume | 266 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 1 Mar 2019 |
| Externally published | Yes |
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Keywords
- UT-Hybrid-D
- Off-hour effect
- Off-hours
- Severity
- Stroke
- In-hospital mortality
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Comparison of outcome in stroke patients admitted during working hours vs. off-hours; a single-center cohort study. / Tuinman, M. P. (Corresponding Author); van Golde, E. G.A.; Portier, R. P.; Knottnerus, I. L.H.; van der Palen, J.; den Hertog, H. M.; Brouwers, P. J.A.M.
In: Journal of neurology, Vol. 266, No. 3, 01.03.2019, p. 782-789.Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - Comparison of outcome in stroke patients admitted during working hours vs. off-hours; a single-center cohort study
AU - Tuinman, M. P.
AU - van Golde, E. G.A.
AU - Portier, R. P.
AU - Knottnerus, I. L.H.
AU - van der Palen, J.
AU - den Hertog, H. M.
AU - Brouwers, P. J.A.M.
N1 - Springer deal
PY - 2019/3/1
Y1 - 2019/3/1
N2 - INTRODUCTION We aimed to disprove an in-hospital off-hour effect in stroke patients by adjusting for disease severity and poor prognostic findings on imaging. PATIENTS AND METHODS Our study included 5378 patients from a single center prospective stroke registry of a large teaching hospital in the Netherlands, admitted between January 2003 and June 2015. Patients were categorized by admission time, off-hours (OH) or working hours (WH). The in-hospital mortality, 7-day mortality, unfavorable functional outcome (modified Rankin scale > 2) and discharge to home were analyzed. Results were adjusted for age, sex, stroke severity (NIHSS score) and unfavorable findings on imaging of the brain (midline shift and dense vessel sign). RESULTS Overall, 2796 patients (52%) were admitted during OH, which had a higher NIHSS score [3 (IQR 2-8) vs. 3 (IQR 2-6): p
AB - INTRODUCTION We aimed to disprove an in-hospital off-hour effect in stroke patients by adjusting for disease severity and poor prognostic findings on imaging. PATIENTS AND METHODS Our study included 5378 patients from a single center prospective stroke registry of a large teaching hospital in the Netherlands, admitted between January 2003 and June 2015. Patients were categorized by admission time, off-hours (OH) or working hours (WH). The in-hospital mortality, 7-day mortality, unfavorable functional outcome (modified Rankin scale > 2) and discharge to home were analyzed. Results were adjusted for age, sex, stroke severity (NIHSS score) and unfavorable findings on imaging of the brain (midline shift and dense vessel sign). RESULTS Overall, 2796 patients (52%) were admitted during OH, which had a higher NIHSS score [3 (IQR 2-8) vs. 3 (IQR 2-6): p
KW - UT-Hybrid-D
KW - Off-hour effect
KW - Off-hours
KW - Severity
KW - Stroke
KW - In-hospital mortality
U2 - 10.1007/s00415-018-9079-1
DO - 10.1007/s00415-018-9079-1
M3 - Article
VL - 266
SP - 782
EP - 789
JO - Journal of neurology
JF - Journal of neurology
SN - 0340-5354
IS - 3
ER -