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dc.contributor.authorKilkenny, MF
dc.contributor.authorLannin, NA
dc.contributor.authorLevi, C
dc.contributor.authorFaux, SG
dc.contributor.authorDewey, HM
dc.contributor.authorGrimley, R
dc.contributor.authorHill, K
dc.contributor.authorGrabsch, B
dc.contributor.authorKim, J
dc.contributor.authorHand, P
dc.contributor.authorCrosby, V
dc.contributor.authorGardner, M
dc.contributor.authorRois-Gnecco, J
dc.contributor.authorThijs, V
dc.contributor.authoret al.
dc.date.accessioned2020-03-18T04:15:49Z
dc.date.available2020-03-18T04:15:49Z
dc.date.issued2019
dc.identifier.issn1747-4930
dc.identifier.doi10.1177/1747493018806165
dc.identifier.urihttp://hdl.handle.net/10072/392421
dc.description.abstractBackground: The quality of stroke care may diminish on weekends. Aims: We aimed to compare the quality of care and outcomes for patients with stroke/transient ischemic attack discharged on weekdays compared with those discharged on weekends. Methods: Data from the Australian Stroke Clinical Registry from January 2010 to December 2015 (n = 45 hospitals) were analyzed. Differences in processes of care by the timing of discharge are described. Multilevel regression and survival analyses (up to 180 days postevent) were undertaken. Results: Among 30,649 registrants, 2621 (8.6%) were discharged on weekends (55% male; median age 74 years). Compared to those discharged on weekdays, patients discharged on weekends were more often patients with a transient ischemic attack (weekend 35% vs. 19%; p < 0.001) but were less often treated in a stroke unit (69% vs. 81%; p < 0.001), prescribed antihypertensive medication at discharge (65% vs. 71%; p < 0.001) or received a care plan if discharged to the community (47% vs. 53%; p < 0.001). After accounting for patient characteristics and clustering by hospital, patients discharged on weekends had a 1 day shorter length of stay (coefficient = −1.31, 95% confidence interval [CI] = −1.52, −1.10), were less often discharged to inpatient rehabilitation (aOR = 0.39, 95% CI = 0.34, 0.44) and had a greater hazard of death within 180 days (hazard ratio = 1.22, 95% CI = 1.04, 1.42) than those discharged on weekdays. Conclusions: Patients with stroke/transient ischemic attack discharged on weekends were more likely to receive suboptimal care and have higher long-term mortality. High quality of stroke care should be consistent irrespective of the timing of hospital discharge.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSAGE Publications
dc.relation.ispartofpagefrom430
dc.relation.ispartofpageto438
dc.relation.ispartofissue4
dc.relation.ispartofjournalInternational Journal of Stroke
dc.relation.ispartofvolume14
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNeurosciences
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1109
dc.subject.keywordsWeekend
dc.subject.keywordsclinical indicators
dc.subject.keywordsoutcomes
dc.subject.keywordsquality care
dc.subject.keywordsstroke
dc.titleWeekend hospital discharge is associated with suboptimal care and outcomes: An observational Australian Stroke Clinical Registry study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationKilkenny, MF; Lannin, NA; Levi, C; Faux, SG; Dewey, HM; Grimley, R; Hill, K; Grabsch, B; Kim, J; Hand, P; Crosby, V; Gardner, M; Rois-Gnecco, J; Thijs, V; Anderson, CS; Donnan, G; Middleton, S; Cadilhac, DA, Weekend hospital discharge is associated with suboptimal care and outcomes: An observational Australian Stroke Clinical Registry study, International Journal of Stroke, 2019, 14 (4), pp. 430-438
dc.date.updated2020-03-18T04:14:21Z
gro.hasfulltextNo Full Text
gro.griffith.authorGrimley, Rohan


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