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No Evidence of the “Weekend Effect” in the Northern New South Wales Telestroke Network

Overview of attention for article published in Frontiers in Neurology, February 2020
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Title
No Evidence of the “Weekend Effect” in the Northern New South Wales Telestroke Network
Published in
Frontiers in Neurology, February 2020
DOI 10.3389/fneur.2020.00130
Pubmed ID
Authors

Thomas Lillicrap, Alex Pinheiro, Ferdinand Miteff, Pablo Garcia-Bermejo, Shyam Gangadharan, Thomas Wellings, Billy O'Brien, James Evans, Khaled Alanati, Andrew Bivard, Mark Parsons, Christopher Levi, Carlos Garcia-Esperon, Neil Spratt

Abstract

Background: Admission outside normal business hours has been associated with prolonged door-to-treatment times and poorer patient outcomes, the so called "weekend effect. " This is the first examination of the weekend effect in a telestroke service that uses multi-modal computed tomography. Aims: To examine differences in workflow and triage between in-hours and out-of-hours calls to a telestroke service. Methods: All patients assessed using the Northern New South Wales (N-NSW) telestroke service from April 2013 to January 2019 were eligible for inclusion (674 in total; 539 with complete data). The primary outcomes measured were differences between in-hours and out-of-hours in door-to-call-to-decision-to-needle times, differences in the proportion of patients confirmed to have strokes or of patients selected for reperfusion therapies or patients with a modified Rankin Score (mRS ≤ 2) at 90 days. Results: There were no significant differences between in-hours and out-of-hours in any of the measured times, nor in the proportions of patients confirmed to have strokes (67.6 and 69.6%, respectively, p = 0.93); selected for reperfusion therapies (22.7 and 22.6%, respectively, p = 0.56); or independent at 3 months (34.8 and 33.6%, respectively, p = 0.770). There were significant differences in times between individual hospitals, and patient presentation more than 4.5 h after symptom onset was associated with slower times (21 minute delay in door-to-call, p = 0.002 and 22 min delay in door-to-image, p = 0.001). Conclusions: The weekend effect is not evident in the Northern NSW telestroke network experience, though this study did identify some opportunities for improvement in the delivery of acute stroke therapies.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 13 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 13 100%

Demographic breakdown

Readers by professional status Count As %
Other 3 23%
Student > Doctoral Student 2 15%
Student > Bachelor 2 15%
Librarian 1 8%
Professor 1 8%
Other 0 0%
Unknown 4 31%
Readers by discipline Count As %
Medicine and Dentistry 2 15%
Psychology 2 15%
Arts and Humanities 1 8%
Neuroscience 1 8%
Engineering 1 8%
Other 0 0%
Unknown 6 46%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 March 2020.
All research outputs
#20,608,970
of 23,197,711 outputs
Outputs from Frontiers in Neurology
#9,098
of 12,130 outputs
Outputs of similar age
#305,886
of 360,243 outputs
Outputs of similar age from Frontiers in Neurology
#246
of 303 outputs
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