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dc.contributor.authorKilkenny, Monique F-
dc.contributor.authorLannin, Natasha A-
dc.contributor.authorLevi, Chris-
dc.contributor.authorFaux, Steven G-
dc.contributor.authorDewey, Helen M-
dc.contributor.authorGrimley, Rohan-
dc.contributor.authorHill, Kelvin-
dc.contributor.authorGrabsch, Brenda-
dc.contributor.authorKim, Joosup-
dc.contributor.authorHand, Peter-
dc.contributor.authorCrosby, Vanessa-
dc.contributor.authorGardner, Michele-
dc.contributor.authorRois-Gnecco, Juan-
dc.contributor.authorThijs, Vincent N-
dc.contributor.authorAnderson, Craig S-
dc.contributor.authorDonnan, Geoffrey A-
dc.contributor.authorMiddleton, Sandy-
dc.contributor.authorCadilhac, Dominique A-
dc.identifier.citationInternational Journal of Stroke 2019; 14(4): 430-438-
dc.description.abstractThe quality of stroke care may diminish on weekends. 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. 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. 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. 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.subjectclinical indicators-
dc.subjectquality care-
dc.subjecttransient ischemic attack-
dc.titleWeekend hospital discharge is associated with suboptimal care and outcomes: An observational Australian Stroke Clinical Registry study.-
dc.typeJournal Article-
dc.identifier.journaltitleInternational Journal of Stroke-
dc.identifier.affiliationLa Trobe University, Bundoora, Australiaen
dc.identifier.affiliationRoyal Melbourne Hospital, Parkville, Australiaen
dc.identifier.affiliationStroke Foundation, Melbourne, Australiaen
dc.identifier.affiliationUniversity of Newcastle, Newcastle, Australiaen
dc.identifier.affiliationStroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australiaen
dc.identifier.affiliationSt Vincent's Healthcare (Sydney), Sydney, Australiaen
dc.identifier.affiliationStroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationEastern Health Clinical School, Box Hill, Monash University, Australiaen
dc.identifier.affiliationSunshine Coast Clinical School, The University of Queensland, Birtinya, Australiaen
dc.identifier.affiliationAustralian Catholic University, Sydney, Australiaen
dc.identifier.affiliationThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australiaen
dc.identifier.affiliationIpswich Hospital, Ipswich, Australiaen
dc.identifier.affiliationWide Bay Hospital and Health Service, Bundaberg, Australiaen
dc.identifier.affiliationAlbury-Wodonga Health, Albury, Australiaen
dc.type.austinJournal Article-, Geoffrey A
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.openairecristype Florey Institute of Neuroscience and Mental Health- Florey Institute of Neuroscience and Mental Health-
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