Evidence map›Paper›PMID 31234190›Full record

ArticleCerebrovascular diseases extra2019

"Weekend Effect" on 30-Day Readmissions among Stroke Survivors: An Analysis of the National Readmission Database.

Bijan J Khaksari, Erin R Kulick, Mitchell S V Elkind, Amelia K Boehme

Abstract read
In one paragraph

Article in Cerebrovascular diseases extra, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Bijan J KhaksariDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.
Erin R KulickDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.
Mitchell S V ElkindDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.
Amelia K BoehmeDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA, akb2188@cumc.columbia.edu.

Funding

Racial Disparities, Influenza Like Illness and the Association between Short-term Exposure to Ambient Air Pollution and Cardiovascular OutcomesR21MD012451 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BOEHME, AMELIA K · 2017 to 2018
$440k
Health Disparities in Sepsis as a Risk Factor for StrokeR03NS101417 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BOEHME, AMELIA K · 2017 to 2018
$160k
NIMHD NIH HHS R21 MD012451NINDS NIH HHS R03 NS101417
6 · The paper itself

Abstract

background and purposePrevious studies suggested that quality of care may be lower on weekends than during the week. We hypothesized that, among patients hospitalized for an index ischemic stroke, those admitted on weekends would have a higher risk of 30-day readmission than those admitted on weekdays.

methodsWe utilized the 2013 Nationwide Readmission Database, which includes data on US inpatient admissions from the Agency for Healthcare Research and Quality Healthcare Utilization Project. The database includes a nationally representative weighted probability sample of inpatient hospitalizations regardless of insurance status. Patients with primary acute ischemic stroke were identified using previously validated ICD-9-CM diagnosis codes. We conducted a weighted analysis using survey design logistic regression models to estimate crude and adjusted odds ratios (OR) and 95% confidence intervals (95% CI) for the association between weekend admission and 30-day readmission in ischemic stroke patients.

resultsAmong 319,317 patients admitted for ischemic stroke, 12.1% were readmitted within 30 days. Those with 30-day readmissions had an average of 8 chronic conditions, and all cardiovascular-related comorbidities increased the risk of 30-day readmissions. Ischemic stroke patients admitted on weekends had odds of 30-day readmission similar to patients admitted on weekdays (OR 1.02; 95% CI 0.98-1.06). Weekend admission also did not affect readmission at 7 or 60 days.

conclusionsWe found no association between weekend admission and 30-day readmissions, providing indirect evidence of homogeneity in the quality of care delivered during week day and weekend admissions.

Indexed as

After-Hours CarePatient AdmissionPatient ReadmissionQuality of Health CareAgedComorbidityDatabases, FactualFemaleHumansMaleRisk AssessmentRisk FactorsStrokeTime FactorsUnited StatesIschemic strokeStroke quality of careWeekend admission

Identifiers

PMID31234190
PMCPMC7036528

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.