Re-evaluating the Weekend Effect on SAH: A Nationwide Analysis of the Association Between Mortality and Weekend Admission

Neurocritical Care
William C JohnsonAli Seifi

Abstract

Multiple studies have shown worse outcomes in patients admitted for medical and surgical conditions on the weekend. However, past literature analyzing this "weekend effect" on subarachnoid hemorrhage (SAH) found no significant increase in mortality. This study utilizes more recent data to re-evaluate the association between weekend admission and mortality of patients hospitalized for SAH. This retrospective cohort study queried the SAH patients in the Nationwide Inpatient Sample (NIS) database who were discharged from 2006 through 2014 during the weekend. Of the 54,703 admissions for SAH identified during the study period, 14,821 (27.1%) occurred over the weekend. Patients admitted over the weekend had a mean age of 59.2 years and were most likely to be female (59.6%), to be white (62.9%), located in the south region of the USA (40.1%), and be admitted to a teaching hospital (74.4%). When compared directly to weekday admissions, patients admitted over the weekend had higher odds of in-hospital mortality (odds ratio 1.07; confidence interval 95%, 1.02-1.12). There was no significant difference shown in the rate patients get surgical clipping versus endovascular coiling (p = 0.28) or the amount of time between admission to proced...Continue Reading

References

Mar 1, 1986·Journal of Neurosurgery·R JuulR Ringkjøb
Dec 1, 1994·Annals of Internal Medicine·L A PetersenT H Lee
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Feb 7, 2001·Brain : a Journal of Neurology·J van Gijn, G J Rinkel
Sep 8, 2001·The New England Journal of Medicine·C M Bell, D A Redelmeier
Jan 10, 2002·Stroke; a Journal of Cerebral Circulation·Kurt T KreiterStephan A Mayer
Dec 24, 2002·Journal of Substance Abuse Treatment·Tami L MarkRosanna M Coffey
Jul 28, 2004·The American Journal of Medicine·Peter CramGary E Rosenthal
Jan 30, 2007·Lancet·Jan van GijnGabriel J E Rinkel
Mar 10, 2007·Stroke; a Journal of Cerebral Circulation·Gustavo SaposnikVladimir Hachinski
Apr 14, 2007·Stroke; a Journal of Cerebral Circulation·Satwant K SamraUNKNOWN CFAAST Investigators
Jul 3, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Edward H LivingstonRobert V Rege
Nov 29, 2008·Cerebrovascular Diseases·Karen C AlbrightSean I Savitz
Apr 17, 2010·Stroke; a Journal of Cerebral Circulation·Atte MeretojaUnto Häkkinen
Aug 27, 2011·Stroke; a Journal of Cerebral Circulation·James S McKinneyUNKNOWN Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group
Nov 29, 2011·World Neurosurgery·George Kwok Chu WongWai Sang Poon
Jun 23, 2012·World Neurosurgery·Carl Christian Larsen, Jens Astrup
Jan 15, 2015·Journal of Neurointerventional Surgery·Kimon BekelisDavid W Roberts
Oct 11, 2017·Emergency Medicine Clinics of North America·Brit LongMichael S Runyon
Nov 15, 2017·Critical Care Medicine·Megan GallowayDavid Harrison

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Citations

Dec 8, 2020·British Journal of Neurosurgery·Neeraj KalraNick Phillips
Feb 4, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Thuy Phuong NguyenSeana Gall
Jul 19, 2021·Clinical Neurology and Neurosurgery·Annika HantscheDirk Lindner
May 31, 2019·Journal of Vascular Surgery·George GalyfosKonstantinos Filis

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