Diurnal variations in the quality of stroke care in Sweden

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: WFRF:(Glader Eva Lotta 1972 ) > Diurnal variations ...

Details
MARC

Darehed, DavidUmeå University,Sunderby Research Unit,University College London (author)

Diurnal variations in the quality of stroke care in Sweden

Article/chapterEnglish2019

Publisher, publication year, extent ...

2019-05-14
Hindawi Limited,2019

Numbers

LIBRIS-ID:oai:lup.lub.lu.se:b7c04e37-a1f0-41ad-b149-00b423aebd68
https://lup.lub.lu.se/record/b7c04e37-a1f0-41ad-b149-00b423aebd68URI
https://doi.org/10.1111/ane.13112DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-158646URI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

Notes

Objectives: A recent study of acute stroke patients in England and Wales revealed several patterns of temporal variation in quality of care. We hypothesized that similar patterns would be present in Sweden and aimed to describe these patterns. Additionally, we aimed to investigate whether hospital type conferred resilience against temporal variation. Materials and Methods: We conducted this nationwide registry-based study using data from the Swedish Stroke Register (Riksstroke) including all adult patients registered with acute stroke between 2011 and 2015. Outcomes included process measures and survival. We modeled time of presentation as on/off-hours, shifts, day of week, 4-hour, and 12-hour time blocks. We studied hospital resilience by comparing outcomes across hospital types. Results: A total of 113 862 stroke events in 72 hospitals were included. The process indicators and survival all showed significant temporal variation. Door-to-needle (DTN) time within 30 minutes was less likely during nighttime than daytime (OR 0.50; 95% CI 0.41-0.60). Patients admitted during off-hours had lower odds of direct stroke unit (SU) admission (OR 0.72; 95% CI 0.70-0.75). 30-day survival was lower in nighttime vs daytime presentations (OR 0.90, 95% CI 0.84-0.96). The effects of temporal variation differed significantly between hospital types for DTN time within 30 minutes and direct SU admission where university hospitals were more resilient than specialized non-university hospitals. Conclusions: Our study shows that variation in quality of care and survival is present throughout the whole week. We also found that university hospitals were more resilient to temporal variation than specialized non-university hospitals.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
off-hours
quality of care
stroke
temporal variation
weekend effect
weekly variation
Off hours

Added entries (persons, corporate bodies, meetings, titles ...)

Blom, MathiasLund University,Lunds universitet,Medicin/akutsjukvård, Lund,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medicine, Lund,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)med-mbo (author)
Glader, Eva-Lotta,1972-Umeå universitet,Umeå University,Avdelningen för medicin(Swepub:umu)evaglr96 (author)
Niklasson, JohanUmeå universitet,Umeå University,Geriatrik(Swepub:umu)joni0103 (author)
Norrving, BoLund University,Lunds universitet,Stroke policy och kvalitetsregisterforskning,Forskargrupper vid Lunds universitet,Stroke policy and quality register research,Lund University Research Groups(Swepub:lu)neur-bno (author)
Bray, Benjamin D.University College London (author)
Eriksson, Marie,ProfessorUmeå universitet,Umeå University,Statistik(Swepub:umu)maer0004 (author)
Umeå UniversitySunderby Research Unit (creator_code:org_t)

Related titles

In:Acta Neurologica Scandinavica: Hindawi Limited140:2, s. 123-1300001-63141600-0404

Internet link

Find in a library

Acta Neurologica Scandinavica (Search for host publication in LIBRIS)

To the university's database

Find more in SwePub

By the author/editor: Darehed, David; Blom, Mathias; Glader, Eva-Lott ...; Niklasson, Johan; Norrving, Bo; Bray, Benjamin D ...; show more...; Eriksson, Marie, ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Neurology

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Health Care Serv ...

Articles in the publication: Acta Neurologica ...

By the university: Lund University; Umeå University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se