ArticlePloS one2015
Mortality following Stroke, the Weekend Effect and Related Factors: Record Linkage Study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association of Off-Hour Admission With Treatment Delay and Unfavorable Outcomes in Patients With Stroke: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2026Pooled it
- The weekend effect: does hospital mortality differ by day of the week? A systematic review and meta-analysis.BMC health services research · 2018Pooled it
- Effect of Hospital Arrival Time on Functional Prognosis of Stroke Patients: Japan Stroke Data Bank Over 20 Years.Journal of atherosclerosis and thrombosis · 2025Article
- Transition to end-of-life care in patients with neurological diseases in an acute hospital ward.BMC neurology · 2024Article
- Article
- The weekend effect in stroke mortality: evidence from Austrian acute care hospitals.International journal of health economics and management · 2022Article
- A retrospective review of speech-language therapy services provided to adult inpatients at a central-level hospital in Gauteng, South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2020Article
- Impact of nighttime and weekends on outcomes of emergency trauma patients: A nationwide observational study in Japan.Medicine · 2020Observational
- What does it take to provide clinical interventions with temporal consistency? A qualitative study of London hyperacute stroke units.BMJ open · 2019Observational
- The weekend effect revisited: evidence from the Upper Austrian stroke registry.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Article
- Article
- Article
- Ethical Issues in the Treatment of Late-Stage Alzheimer's Disease.Journal of Alzheimer's disease : JAD · 2019Review
- Article
- Different utilization of intensive care services (ICSs) for patients dying of hemorrhagic and ischemic stroke, a hospital-based survey.Medicine · 2018Article
- The weekend effect in liver transplantation.PloS one · 2018Article
- Weekend admission and mortality for gastrointestinal disorders across England and Wales.The British journal of surgery · 2017Article
- Article
- Charlson comorbidity index as a predictor of in-hospital death in acute ischemic stroke among very old patients: a single-cohort perspective study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016Article
- "Weekend effect" on stroke mortality revisited: Application of a claims-based stroke severity index in a population-based cohort study.Medicine · 2016Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundIncreased mortality following hospitalisation for stroke has been reported from many but not all studies that have investigated a 'weekend effect' for stroke. However, it is not known whether the weekend effect is affected by factors including hospital size, season and patient distance from hospital.
objectiveTo assess changes over time in mortality following hospitalisation for stroke and how any increased mortality for admissions on weekends is related to factors including the size of the hospital, seasonal factors and distance from hospital.
methodsA population study using person linked inpatient, mortality and primary care data for stroke from 2004 to 2012. The outcome measures were, firstly, mortality at seven days and secondly, mortality at 30 days and one year.
resultsOverall mortality for 37 888 people hospitalised following stroke was 11.6% at seven days, 21.4% at 30 days and 37.7% at one year. Mortality at seven and 30 days fell significantly by 1.7% and 3.1% per annum respectively from 2004 to 2012. When compared with week days, mortality at seven days was increased significantly by 19% for admissions on weekends, although the admission rate was 21% lower on weekends. Although not significant, there were indications of increased mortality at seven days for weekend admissions during winter months (31%), in community (81%) rather than large hospitals (8%) and for patients resident furthest from hospital (32% for distances of >20 kilometres). The weekend effect was significantly increased (by 39%) for strokes of 'unspecified' subtype.
conclusionsMortality following stroke has fallen over time. Mortality was increased for admissions at weekends, when compared with normal week days, but may be influenced by a higher stroke severity threshold for admission on weekends. Other than for unspecified strokes, we found no significant variation in the weekend effect for hospital size, season and distance from hospital.
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