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Off-Hour Admission Is Associated with Poor Outcome in Patients with Intracerebral Hemorrhage

The mortality of stroke increases on weekends and during off-hour periods. We investigated the effect of off-hour admission on the outcomes of intracerebral hemorrhage (ICH) patients. We retrospectively analyzed a prospective cohort of ICH patients, admitted between January 2017 and December 2019 at...

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Autores principales: Akram, Muhammad Junaid, Lv, Xinni, Deng, Lan, Li, Zuoqiao, Yang, Tiannan, Yin, Hao, Wu, Xiaofang, Pu, Mingjun, Chen, Chu, Zhao, Libo, Li, Qi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821144/
https://www.ncbi.nlm.nih.gov/pubmed/36614867
http://dx.doi.org/10.3390/jcm12010066
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author Akram, Muhammad Junaid
Lv, Xinni
Deng, Lan
Li, Zuoqiao
Yang, Tiannan
Yin, Hao
Wu, Xiaofang
Pu, Mingjun
Chen, Chu
Zhao, Libo
Li, Qi
author_facet Akram, Muhammad Junaid
Lv, Xinni
Deng, Lan
Li, Zuoqiao
Yang, Tiannan
Yin, Hao
Wu, Xiaofang
Pu, Mingjun
Chen, Chu
Zhao, Libo
Li, Qi
author_sort Akram, Muhammad Junaid
collection PubMed
description The mortality of stroke increases on weekends and during off-hour periods. We investigated the effect of off-hour admission on the outcomes of intracerebral hemorrhage (ICH) patients. We retrospectively analyzed a prospective cohort of ICH patients, admitted between January 2017 and December 2019 at the First Affiliated Hospital of Chongqing Medical University. Acute ICH within 72 h after onset with a baseline computed tomography and 3-month follow-up were included in our study. Multivariable logistic regression analysis was performed for calculating the odds ratios (OR) and 95% confidence interval (CI) for the outcome measurements. Of the 656 participants, 318 (48.5%) were admitted during on-hours, whereas 338 (51.5%) were admitted during off-hours. Patients with a poor outcome had a larger median baseline hematoma volume, of 27 mL (interquartile range 11.1–53.2 mL), and a lower median time from onset to imaging, of 2.8 h (interquartile range 1.4–9.6 h). Off-hour admission was significantly associated with a poor functional outcome at 3 months, after adjusting for cofounders (adjusted OR 2.17, 95% CI 1.35–3.47; p = 0.001). We found that patients admitted during off-hours had a higher risk of poor functional outcomes at 3 months than those admitted during working hours.
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spelling pubmed-98211442023-01-07 Off-Hour Admission Is Associated with Poor Outcome in Patients with Intracerebral Hemorrhage Akram, Muhammad Junaid Lv, Xinni Deng, Lan Li, Zuoqiao Yang, Tiannan Yin, Hao Wu, Xiaofang Pu, Mingjun Chen, Chu Zhao, Libo Li, Qi J Clin Med Article The mortality of stroke increases on weekends and during off-hour periods. We investigated the effect of off-hour admission on the outcomes of intracerebral hemorrhage (ICH) patients. We retrospectively analyzed a prospective cohort of ICH patients, admitted between January 2017 and December 2019 at the First Affiliated Hospital of Chongqing Medical University. Acute ICH within 72 h after onset with a baseline computed tomography and 3-month follow-up were included in our study. Multivariable logistic regression analysis was performed for calculating the odds ratios (OR) and 95% confidence interval (CI) for the outcome measurements. Of the 656 participants, 318 (48.5%) were admitted during on-hours, whereas 338 (51.5%) were admitted during off-hours. Patients with a poor outcome had a larger median baseline hematoma volume, of 27 mL (interquartile range 11.1–53.2 mL), and a lower median time from onset to imaging, of 2.8 h (interquartile range 1.4–9.6 h). Off-hour admission was significantly associated with a poor functional outcome at 3 months, after adjusting for cofounders (adjusted OR 2.17, 95% CI 1.35–3.47; p = 0.001). We found that patients admitted during off-hours had a higher risk of poor functional outcomes at 3 months than those admitted during working hours. MDPI 2022-12-21 /pmc/articles/PMC9821144/ /pubmed/36614867 http://dx.doi.org/10.3390/jcm12010066 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Akram, Muhammad Junaid
Lv, Xinni
Deng, Lan
Li, Zuoqiao
Yang, Tiannan
Yin, Hao
Wu, Xiaofang
Pu, Mingjun
Chen, Chu
Zhao, Libo
Li, Qi
Off-Hour Admission Is Associated with Poor Outcome in Patients with Intracerebral Hemorrhage
title Off-Hour Admission Is Associated with Poor Outcome in Patients with Intracerebral Hemorrhage
title_full Off-Hour Admission Is Associated with Poor Outcome in Patients with Intracerebral Hemorrhage
title_fullStr Off-Hour Admission Is Associated with Poor Outcome in Patients with Intracerebral Hemorrhage
title_full_unstemmed Off-Hour Admission Is Associated with Poor Outcome in Patients with Intracerebral Hemorrhage
title_short Off-Hour Admission Is Associated with Poor Outcome in Patients with Intracerebral Hemorrhage
title_sort off-hour admission is associated with poor outcome in patients with intracerebral hemorrhage
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821144/
https://www.ncbi.nlm.nih.gov/pubmed/36614867
http://dx.doi.org/10.3390/jcm12010066
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