ArticleJournal of the American Heart Association2019
Holiday Season and Weekend Effects on Stroke Mortality: A Nationwide Cohort Study Controlling for Stroke Severity.
Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis 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.
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline 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
- Influence of onset time on in-hospital outcomes in patients with acute intracerebral hemorrhage in China.Scientific reports · 2026Article
- SEASONAL VARIATION OF ACUTE STROKE IN A TROPICAL AFRICAN LOCALITY: A RETROSPECTIVE STUDY FROM SUB-SAHARAN AFRICA.Annals of Ibadan postgraduate medicine · 2025Article
- Effect of Hospital Arrival Time on Functional Prognosis of Stroke Patients: Japan Stroke Data Bank Over 20 Years.Journal of atherosclerosis and thrombosis · 2025Article
- Delayed door to puncture time during off-duty hours is associated with unfavorable outcomes after mechanical thrombectomy in the early window of acute ischemic stroke.BMC neurology · 2024Article
- Effect of national holidays on health outcomes of patients receiving peritoneal dialysis in a single center over a ten-year period.Renal failure · 2023Article
- Seasonal Pattern of Cerebrovascular Fatalities in Cancer Patients.Healthcare (Basel, Switzerland) · 2023Article
- Seasonal Variation of Atrial Fibrillation Admission and Quality of Care in the United States.Journal of the American Heart Association · 2022Article
- Does Weekends Effect Exist in Asia? Analysis of Endovascular Thrombectomy for Acute Ischemic Stroke in A Medical Center.Current neurovascular research · 2022Article
- Impact of shift work on surgical outcomes at different times in patients with acute type A aortic dissection: A retrospective cohort study.Frontiers in cardiovascular medicine · 2022Article
- The Spring Festival Is Associated With Increased Mortality Risk in China: A Study Based on 285 Chinese Locations.Frontiers in medicine · 2022Article
- Evaluating the "holiday season effect" of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan.Scientific reports · 2021Article
- Excess mortality at Christmas due to cardiovascular disease in the HUNT study prospective population-based cohort in Norway.BMC public health · 2021Article
- Mortality risk from acute aortic dissection among hospital admissions during weekends and holiday season.PloS one · 2021Article
- Holiday and weekend effects on mortality for acute myocardial infarction in Shanxi, China: a cross-sectional study.International journal of public health · 2020Article
- Analysis of weekend effect in severe acute liver injury: A nationwide database study.Health science reports · 2020Article
- Holiday Season and Weekend Effects on Stroke Mortality: A Nationwide Cohort Study Controlling for Stroke Severity.Journal of the American Heart Association · 2019Article
- The weekend effect on mechanical thrombectomy: A nationwide analysis before and after the pivotal 2015 trials.Brain circulationArticle
- The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysis.Tzu chi medical journalArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background The effect of holiday season admission for stroke on mortality has not been investigated. Thus, we aimed to evaluate whether "holiday season" and "weekend" effects exist on mortality risk for stroke admission. Methods and Results A nationwide cohort study was conducted using Taiwan's National Health Insurance Research Database. We identified all patients admitted for stroke between 2011 and 2015 in Taiwan, and categorized them according to the admission date: holiday season (at least 4 days off) (n=3908), weekend (n=13 774), and weekday (n=49 045). We analyzed in-hospital, 7-day, and 30-day mortality using multivariable logistic regression, adjusting for stroke severity and other confounders. Compared with weekday admissions, holiday season admission for stroke was significantly associated with a 20%, 33%, and 21% increase in in-hospital, 7-day, and 30-day mortality, respectively. Compared with weekend admissions, holiday season admissions were associated with a 24%, 30%, and 22% increased risk of in-hospital, 7-day, and 30-day mortality, respectively. However, mortality did not differ significantly between weekend and weekday admissions. Subanalyses after stratification for age, sex, and stroke type also revealed similar trends. Conclusions We report for the first time a "holiday season effect" on stroke mortality. Patients admitted during holiday seasons had higher mortality risks than those admitted on weekends and weekdays. This holiday season effect persisted even after adjusting for stroke severity and other important confounders. These findings highlight the need for healthcare delivery systems with a consistent quality of round-the-clock care for patients admitted for stroke.
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