"Weekend Effects" in Patients with Intracerebral Hemorrhage

Fan Jiang, John H. Zhang, Xinyue Qin

Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)peer-review

Abstract

Studies have shown that weekend admissions are associated with outcomes of patients with different diseases. Our aim is to evaluate the weekend effects in patients with intracerebral hemorrhage (ICH) in our hospital. A retrospective analysis of patients with ICH was performed. Weekend admission was defined as the period from Friday, 6:01 p.m., to Monday, 7:59 a.m. The ICH score was used to evaluate severity on admission. The chi-square goodness-of-fit test was applied to analyze weekly distribution. The rank sum test was conducted to calculate the functional outcomes (modified Rankin scale, MRS), and the mortality was compared by binary logistic regression. Between 2008 and 2009, 313 patients with ICH were included, of which 30% (95/313) were admitted on the weekend. Patients with ICH were equally distributed on weekdays and weekends (P = 0.7123). Weekend admission was not a statistically significant predictive factor for in-hospital mortality (P =0.315) and functional outcomes (P = 0.128) in patients with ICH. However, a significant correlation was found between the ICH score and the mortality (OR = 6.819, 95%CI: 4.323-10.757; P = 0.009). Our results suggest that compared with weekday admission, weekend admission is not significantly associated with increased short-term mortality and poorer functional outcome among patients hospitalized with ICH. © 2011 Springer-Verlag/Wien.
Original languageAmerican English
Title of host publicationIntracerebral Hemorrhage Research
Subtitle of host publicationFrom Bench to Bedside
PublisherSpringer Vienna
Pages333-336
Number of pages4
ISBN (Electronic)978-3-7091-0693-8
ISBN (Print)9783709106921, 978-3-7091-2007-1
DOIs
StatePublished - Jan 1 2011

Publication series

NameActa Neurochirurgica, Supplementum
Number111
ISSN (Print)0065-1419
ISSN (Electronic)0001-6268

ASJC Scopus Subject Areas

  • Surgery
  • Clinical Neurology

Keywords

  • Intracerebral hemorrhage
  • Mortality
  • Outcome
  • Weekend
  • Hospital Mortality
  • Patient Admission/statistics & numerical data
  • Humans
  • Middle Aged
  • Risk Factors
  • Length of Stay/statistics & numerical data
  • Male
  • Hospitalization
  • Cerebral Hemorrhage/epidemiology
  • Young Adult
  • Time Factors
  • Sex Factors
  • Aged, 80 and over
  • Adult
  • Female
  • Aged

Disciplines

  • Econometrics
  • Statistics and Probability
  • Computational Engineering

Cite this