Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registry
BackgroundDue to disparities in medical resources in rural and urban areas as well as in different geographic regions in China, the effect of weekend versus weekday admission on the outcomes of acute ischemic stroke (AIS) patients is unknown. Our aim was to investigate whether the outcomes of AIS pa...
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| Format: | Article |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1206846/full |
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| author | Diandian Huang Yuxuan Lu Yongan Sun Wei Sun Yining Huang Liwen Tai Guozhong Li Huisheng Chen Guiru Zhang Lei Zhang Xuwen Sun Jinhua Qiu Yan Wei Haiqiang Jin |
| author_facet | Diandian Huang Yuxuan Lu Yongan Sun Wei Sun Yining Huang Liwen Tai Guozhong Li Huisheng Chen Guiru Zhang Lei Zhang Xuwen Sun Jinhua Qiu Yan Wei Haiqiang Jin |
| author_sort | Diandian Huang |
| collection | DOAJ |
| description | BackgroundDue to disparities in medical resources in rural and urban areas as well as in different geographic regions in China, the effect of weekend versus weekday admission on the outcomes of acute ischemic stroke (AIS) patients is unknown. Our aim was to investigate whether the outcomes of AIS patients differ according to the day of admission in China.MethodsThe data were extracted from the Chinese Acute Ischemic Stroke Treatment Outcome Registry (CASTOR), a multicenter prospective study database of patients diagnosed with AIS. The chi-square test (χ2) and logistic regression were used to assess mortality for weekday and weekend admissions among AIS patients stratified by rural or urban status and geographic region (including the eastern, northeastern, central, and western regions).ResultsIn total, 9,256 patients were included in this study. Of these patients, 57.2% were classified as urban, and 42.8% were classified as rural. A total of 6,760 (73%) patients were admitted on weekdays, and 2,496 (27%) were admitted on weekends. There was no significant difference in the mortality rate among patients admitted on weekends compared with those admitted on weekdays in urban (7.5% versus 7.4%) or rural areas (8.8% versus 8.1%; p > 0.05). The mortality rate was the highest among patients admitted on weekends and weekdays (11.6% versus 10.3%) in the northeastern area, without statistical significance before and after adjusting for the patients’ background characteristics (p > 0.05). In addition, regression analysis revealed that the mortality of patients admitted on weekdays was more likely to be influenced by regional subgroup, hospital level and intravenous thrombolysis than that of patients admitted on weekends.ConclusionThe weekend effect was not observed in the mortality of patients with AIS regardless of rural–urban status or geographic region in China. |
| first_indexed | 2024-03-12T23:12:12Z |
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| id | doaj.art-1ee8e86737454622911a42f7bf2d6e51 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-12T23:12:12Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-1ee8e86737454622911a42f7bf2d6e512023-07-17T23:10:11ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-07-011410.3389/fneur.2023.12068461206846Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registryDiandian Huang0Yuxuan Lu1Yongan Sun2Wei Sun3Yining Huang4Liwen Tai5Guozhong Li6Huisheng Chen7Guiru Zhang8Lei Zhang9Xuwen Sun10Jinhua Qiu11Yan Wei12Haiqiang Jin13Department of Neurology, Peking University First Hospital, Beijing, ChinaDepartment of Neurology, Peking University First Hospital, Beijing, ChinaDepartment of Neurology, Peking University First Hospital, Beijing, ChinaDepartment of Neurology, Peking University First Hospital, Beijing, ChinaDepartment of Neurology, Peking University First Hospital, Beijing, ChinaDepartment of Neurology, Second Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Neurology, First Affiliated Hospital of Harbin Medical University, Neurology, Harbin, ChinaDepartment of Neurology, The General Hospital of Shenyang Military Command, Shenyang, ChinaDepartment of Neurology, Penglai People’s Hospital, Penglai, ChinaDepartment of Neurology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, ChinaDepartment of Neurology, Qindao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, ChinaDepartment of Neurology, Huizhou First Hospital, Huizhou, ChinaDepartment of Neurology, Harrison International Peace Hospital, Hengshui, ChinaDepartment of Neurology, Peking University First Hospital, Beijing, ChinaBackgroundDue to disparities in medical resources in rural and urban areas as well as in different geographic regions in China, the effect of weekend versus weekday admission on the outcomes of acute ischemic stroke (AIS) patients is unknown. Our aim was to investigate whether the outcomes of AIS patients differ according to the day of admission in China.MethodsThe data were extracted from the Chinese Acute Ischemic Stroke Treatment Outcome Registry (CASTOR), a multicenter prospective study database of patients diagnosed with AIS. The chi-square test (χ2) and logistic regression were used to assess mortality for weekday and weekend admissions among AIS patients stratified by rural or urban status and geographic region (including the eastern, northeastern, central, and western regions).ResultsIn total, 9,256 patients were included in this study. Of these patients, 57.2% were classified as urban, and 42.8% were classified as rural. A total of 6,760 (73%) patients were admitted on weekdays, and 2,496 (27%) were admitted on weekends. There was no significant difference in the mortality rate among patients admitted on weekends compared with those admitted on weekdays in urban (7.5% versus 7.4%) or rural areas (8.8% versus 8.1%; p > 0.05). The mortality rate was the highest among patients admitted on weekends and weekdays (11.6% versus 10.3%) in the northeastern area, without statistical significance before and after adjusting for the patients’ background characteristics (p > 0.05). In addition, regression analysis revealed that the mortality of patients admitted on weekdays was more likely to be influenced by regional subgroup, hospital level and intravenous thrombolysis than that of patients admitted on weekends.ConclusionThe weekend effect was not observed in the mortality of patients with AIS regardless of rural–urban status or geographic region in China.https://www.frontiersin.org/articles/10.3389/fneur.2023.1206846/fullacute ischemic strokeChinamortalityruralregional differenceweekend |
| spellingShingle | Diandian Huang Yuxuan Lu Yongan Sun Wei Sun Yining Huang Liwen Tai Guozhong Li Huisheng Chen Guiru Zhang Lei Zhang Xuwen Sun Jinhua Qiu Yan Wei Haiqiang Jin Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registry Frontiers in Neurology acute ischemic stroke China mortality rural regional difference weekend |
| title | Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registry |
| title_full | Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registry |
| title_fullStr | Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registry |
| title_full_unstemmed | Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registry |
| title_short | Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registry |
| title_sort | effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in china an analysis of data from the chinese acute ischemic stroke treatment outcome registry |
| topic | acute ischemic stroke China mortality rural regional difference weekend |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1206846/full |
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