Weekend hospital discharge is associated with suboptimal care and outcomes: An observational Australian Stroke Clinical Registry study

MF Kilkenny; NA Lannin; C Levi; SG Faux; HM Dewey; R Grimley; K Hill; B Grabsch; J Kim; P Hand; V Crosby; M Gardner; J Rois-Gnecco; V Thijs; CS Anderson; G Donnan; S Middleton; DA Cadilhac

Journal article

Weekend hospital discharge is associated with suboptimal care and outcomes: An observational Australian Stroke Clinical Registry study

MF Kilkenny, NA Lannin, C Levi, SG Faux, HM Dewey, R Grimley, K Hill, B Grabsch, J Kim, P Hand, V Crosby, M Gardner, J Rois-Gnecco, V Thijs, CS Anderson, G Donnan, S Middleton, DA Cadilhac

International Journal of Stroke | Published : 2019

DOI: 10.1177/1747493018806165

Abstract

Background: 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 discharg..

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University of Melbourne Researchers

Vincent Thijs Author

Geoffrey Donnan Author

Dominique Cadilhac Author

Related Projects (1)

STROKE 123:A COLLABORATIVE NATIONAL EFFORT TO MONITOR PROMOTE AND IMPROVE THE QUALITY OF STROKE CARE IN HOSPITALS AND PATIENT OUTCOMES

Stroke is a major public health issue in Australia. This Better Health Initiative partnership project is designed to rigorously evaluate a m..

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Awarded by Allergan

Funding Acknowledgements

The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: Authors were supported by the National Health and Medical Research Council (1063761, 1109426, 1112158, 1081356, and 1034415). AuSCR was supported by grants from Allergan, Ipsen, Boehringer Ingelheim, Monash University, Queensland Health, and the Stroke Foundation.