Comparison of outcome in stroke patients admitted during working hours vs. off-hours; a single-center cohort study

M. P. Tuinman; E. G.A. van Golde; R. P. Portier; I. L.H. Knottnerus; J. van der Palen; H. M. den Hertog; P. J.A.M. Brouwers

doi:10.1007/s00415-018-9079-1

Comparison of outcome in stroke patients admitted during working hours vs. off-hours; a single-center cohort study

M. P. Tuinman (Corresponding Author), E. G.A. van Golde, R. P. Portier, I. L.H. Knottnerus, J. van der Palen, H. M. den Hertog, P. J.A.M. Brouwers

Research output: Contribution to journal › Article › Academic › peer-review

2 Citations (Scopus)

Abstract

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

Original language	English
Pages (from-to)	782-789
Number of pages	8
Journal	Journal of neurology
Volume	266
Issue number	3
DOIs	https://doi.org/10.1007/s00415-018-9079-1
Publication status	Published - 1 Mar 2019
Externally published	Yes

Keywords

UT-Hybrid-D
Off-hour effect
Off-hours
Severity
Stroke
In-hospital mortality

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10.1007/s00415-018-9079-1

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title = "Comparison of outcome in stroke patients admitted during working hours vs. off-hours; a single-center cohort study",

abstract = "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 ",

keywords = "UT-Hybrid-D, Off-hour effect, Off-hours, Severity, Stroke, In-hospital mortality",

author = "Tuinman, {M. P.} and {van Golde}, {E. G.A.} and Portier, {R. P.} and Knottnerus, {I. L.H.} and {van der Palen}, J. and {den Hertog}, {H. M.} and Brouwers, {P. J.A.M.}",

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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

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KW - Off-hour effect

KW - Off-hours

KW - Severity

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JO - Journal of neurology

JF - Journal of neurology

SN - 0340-5354

IS - 3

ER -

Comparison of outcome in stroke patients admitted during working hours vs. off-hours; a single-center cohort study

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Keywords

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