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

1 Citation (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
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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Tuinman, M. P., 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. (2019). Comparison of outcome in stroke patients admitted during working hours vs. off-hours; a single-center cohort study. Journal of neurology, 266(3), 782-789. https://doi.org/10.1007/s00415-018-9079-1

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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 ",

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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

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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.

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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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