Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec 9:2020:2198384.
doi: 10.1155/2020/2198384. eCollection 2020.

Risk of Short-Term Mortality after Intracerebral Haemorrhage due to Weekend Hospital Admission in Poland

Marta Nowakowska-Kotas  1 , Marta Waliszewska-Prosół  1 , Paulina Papier  1 , Sławomir Budrewicz  1 , Tomasz Bańkowski  2 , Anna Pokryszko-Dragan  1
Affiliations

Risk of Short-Term Mortality after Intracerebral Haemorrhage due to Weekend Hospital Admission in Poland

Marta Nowakowska-Kotas et al. Emerg Med Int. .

Abstract

Background: The mortality rate for spontaneous intracerebral haemorrhage (ICH) has remained high and stable for many years. The unfavourable prognostic factors include age, bleeding volume, location of the haematoma, high blood pressure, and disturbed consciousness on admission. Other risk factors associated with medical care also deserve attention. The study aimed to analyse the relationship between day of admission, concerning other prognostic factors, and short-term mortality in ICH, in a Polish specialist stroke unit.

Methods: Medical records of 156 patients (74 males, 82 females, mean age 68.7 years) diagnosed with spontaneous ICH and admitted to a specialist stroke center were retrospectively analysed. Demographics, location, volume of bleeding, blood pressure values, and the Glasgow Coma Scale (GCS), as well as the day of admission, were determined. The relationships were analysed between these factors and 30-day mortality in the patients with ICH.

Results: A total of 83 patients were admitted to the hospital during weekdays (Monday 8 am to Friday 3 pm) and 73 during weekends or holidays. Of these, 65 patients died within 30 days. Patients admitted at weekends initially presented with lower GCS scores. Admission on Saturday was associated with an increased risk of death (OR 3.38, 95% CI 1.2-9.48, p < 0.05), but after correction for clinical state measured with the GCS and ICH score, the association was no longer significant.

Conclusions: The time and mode of admission were not associated with increased risk of short-term mortality in ICH patients. Prehospital care issues should be additionally considered as prognostic factors of the outcome.

PubMed Disclaimer

Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Flow Chart with inclusion and exclusion criteria.
See this image and copyright information in PMC

References

    1. Sienkiewicz-Jarosz H., Gtuszkiewicz M., Pniewski J., et al. Incidence and case fatality rates of first-ever stroke - comparison of data from two prospective population-based studies conducted in Warsaw. Neurologia i Neurochirurgia Polska. 2011;45(3):207–212. doi: 10.1016/s0028-3843(14)60073-6. - DOI - PubMed
    1. Gierlotka M., Labuz-Roszak B., Wojtyniak B., et al. Early and one-year outcomes of acute stroke in the industrial region of Poland during the decade 2006–2015: the silesian stroke registry. Neuroepidemiology. 2018;50(3-4):183–194. doi: 10.1159/000487324. - DOI - PubMed
    1. Zahuranec D. B., Lisabeth L. D., Sánchez B. N., et al. Intracerebral hemorrhage mortality is not changing despite declining incidence. Neurology. 2014;82(24):2180–2186. doi: 10.1212/wnl.0000000000000519. - DOI - PMC - PubMed
    1. Carlsson M., Wilsgaard T., Johnsen S. H., et al. Temporal trends in incidence and case fatality of intracerebral hemorrhage: the tromsø study 1995–2012. Cerebrovascular Diseases Extra. 2016;6(2):40–49. doi: 10.1159/000447719. - DOI - PMC - PubMed
    1. van Asch C. J., Luitse M. J., Rinkel G. J., van der Tweel I., Algra A., Klijn C. J. Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis. The Lancet Neurology. 2010;9(2):167–176. doi: 10.1016/s1474-4422(09)70340-0. - DOI - PubMed

LinkOut - more resources