WEKO3
アイテム
Consciousness Level and Off‐Hour Admission Affect Discharge Outcome of Acute Stroke Patients: A J‐ASPECT Study
http://hdl.handle.net/10069/35820
http://hdl.handle.net/10069/35820c79a942a-7efe-417c-ae4c-fe22f7af4127
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
JAHA3_1059.pdf (507.1 kB)
|
|
| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2015-09-04 | |||||
| タイトル | ||||||
| タイトル | Consciousness Level and Off‐Hour Admission Affect Discharge Outcome of Acute Stroke Patients: A J‐ASPECT Study | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Hemorrhagic stroke | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Ischemic stroke | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Mortality | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Stroke | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Weekend effect | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Kamitani, Satoru
× Kamitani, Satoru× Nishimura, Kunihiro× Nakamura, Fumiaki× Kada, Akiko× Nakagawara, Jyoji× Toyoda, Kazunori× Ogasawara, Kuniaki× Ono, Junichi× Shiokawa, Yoshiaki× Aruga, Toru× Miyachi, Shigeru× Nagata, Izumi× Matsuda, Shinya× Miyamoto, Yoshihiro× Iwata, Michiaki× Suzuki, Akifumi× Ishikawa, Koichi B.× Kataoka, Hiroharu× Morita, Kenichi× Kobayashi, Yasuki× Iihara, Koji |
|||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background-Poor outcomes have been reported for stroke patients admitted outside of regular working hours. However, few studies have adjusted for case severity. In this nationwide assessment, we examined relationships between hospital admission time and disabilities at discharge while considering case severity. Methods and Results-We analyzed 35 685 acute stroke patients admitted to 262 hospitals between April 2010 and May 2011 for ischemic stroke (IS), intracerebral hemorrhage (ICH), or subarachnoid hemorrhage (SAH). The proportion of disabilities/death at discharge as measured by the modified Rankin Scale (mRS) was quantified. We constructed 2 hierarchical logistic regression models to estimate the effect of admission time, one adjusted for age, sex, comorbidities, and number of beds; and the second adjusted for the effect of consciousness levels and the above variables at admission. The percentage of severe disabilities/death at discharge increased for patients admitted outside of regular hours (22.8%, 27.2%, and 28.2% for working-hour, off-hour, and nighttime; P<0.001). These tendencies were significant in the bivariate and multivariable models without adjusting for consciousness level. However, the effects of off-hour or nighttime admissions were negated when adjusted for consciousness levels at admission (adjusted OR, 1.00 and 0.99; 95% CI, 1.00 to 1.13 and 0.89 to 1.10; P=0.067 and 0.851 for off-hour and nighttime, respectively, versus working-hour). The same trend was observed when each stroke subtype was stratified. Conclusions-The well-known off-hour effect might be attributed to the severely ill patient population. Thus, sustained stroke care that is sufficient to treat severely ill patients during off-hours is important. | |||||
| 書誌情報 |
Journal of the American Heart Association 巻 3, 号 5, p. e001059, 発行日 2014-10-21 |
|||||
| 出版者 | ||||||
| 出版者 | American Heart Association | |||||
| EISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 20479980 | |||||
| DOI | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.1161/JAHA.114.001059 | |||||
| 権利 | ||||||
| 権利情報 | c 2014 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. | |||||
| 権利 | ||||||
| 権利情報 | This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 引用 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Journal of the American Heart Association, 3(5), e001059; 2014 | |||||
