{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:36:40Z","timestamp":1785929800375,"version":"3.56.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T00:00:00Z","timestamp":1540166400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Stroke"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The quality of stroke care may diminish on weekends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aimed to compare the quality of care and outcomes for patients with stroke\/transient ischemic attack discharged on weekdays compared with those discharged on weekends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the Australian Stroke Clinical Registry from January 2010 to December 2015 ( n\u2009=\u200945 hospitals) were analyzed. Differences in processes of care by the timing of discharge are described. Multilevel regression and survival analyses (up to 180 days postevent) were undertaken.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 30,649 registrants, 2621 (8.6%) were discharged on weekends (55% male; median age 74 years). Compared to those discharged on weekdays, patients discharged on weekends were more often patients with a transient ischemic attack (weekend 35% vs. 19%; p\u2009&lt;\u20090.001) but were less often treated in a stroke unit (69% vs. 81%; p\u2009&lt;\u20090.001), prescribed antihypertensive medication at discharge (65% vs. 71%; p\u2009&lt;\u20090.001) or received a care plan if discharged to the community (47% vs. 53%; p\u2009&lt;\u20090.001). After accounting for patient characteristics and clustering by hospital, patients discharged on weekends had a 1 day shorter length of stay (coefficient\u2009=\u2009\u22121.31, 95% confidence interval [CI]\u2009=\u2009\u22121.52, \u22121.10), were less often discharged to inpatient rehabilitation (aOR\u2009=\u20090.39, 95% CI\u2009=\u20090.34, 0.44) and had a greater hazard of death within 180 days (hazard ratio\u2009=\u20091.22, 95% CI\u2009=\u20091.04, 1.42) than those discharged on weekdays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with stroke\/transient ischemic attack discharged on weekends were more likely to receive suboptimal care and have higher long-term mortality. High quality of stroke care should be consistent irrespective of the timing of hospital discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1747493018806165","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T10:32:56Z","timestamp":1560853976000},"page":"430-438","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Weekend hospital discharge is associated with suboptimal care and outcomes: An observational Australian Stroke Clinical Registry study"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3375-287X","authenticated-orcid":false,"given":"Monique F","family":"Kilkenny","sequence":"first","affiliation":[{"name":"Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia"},{"name":"Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2066-8345","authenticated-orcid":false,"given":"Natasha A","family":"Lannin","sequence":"additional","affiliation":[{"name":"La Trobe University, Bundoora, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9474-796X","authenticated-orcid":false,"given":"Chris","family":"Levi","sequence":"additional","affiliation":[{"name":"University of Newcastle, Newcastle, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven G","family":"Faux","sequence":"additional","affiliation":[{"name":"St Vincent's Healthcare (Sydney), Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen M","family":"Dewey","sequence":"additional","affiliation":[{"name":"Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Australia"},{"name":"Eastern Health Clinical School, Box Hill, Monash University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Grimley","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia"},{"name":"Sunshine Coast Clinical School, The University of Queensland, Birtinya, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelvin","family":"Hill","sequence":"additional","affiliation":[{"name":"Stroke Foundation, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Grabsch","sequence":"additional","affiliation":[{"name":"Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joosup","family":"Kim","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia"},{"name":"Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hand","sequence":"additional","affiliation":[{"name":"Royal Melbourne Hospital, Parkville, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Crosby","sequence":"additional","affiliation":[{"name":"Albury-Wodonga Health, Albury, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Gardner","sequence":"additional","affiliation":[{"name":"Wide Bay Hospital and Health Service, Bundaberg, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Rois-Gnecco","sequence":"additional","affiliation":[{"name":"Ipswich Hospital, Ipswich, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Thijs","sequence":"additional","affiliation":[{"name":"Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Australia"},{"name":"Austin Health, Heidelberg, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7248-4863","authenticated-orcid":false,"given":"Craig S","family":"Anderson","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"Donnan","sequence":"additional","affiliation":[{"name":"Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandy","family":"Middleton","sequence":"additional","affiliation":[{"name":"St Vincent's Healthcare (Sydney), Sydney, Australia"},{"name":"Australian Catholic University, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8162-682X","authenticated-orcid":false,"given":"Dominique A","family":"Cadilhac","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia"},{"name":"Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,10,22]]},"reference":[{"key":"bibr1-1747493018806165","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.116.013453"},{"key":"bibr2-1747493018806165","doi-asserted-by":"publisher","DOI":"10.1159\/000345077"},{"key":"bibr3-1747493018806165","first-page":"138","volume":"46","author":"Barer D","year":"2017","journal-title":"Age 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