Author Affiliations: Primary Care Clinical Sciences, National Institute for Health Research School for Primary Care Research, University of Birmingham, Edgbaston, Birmingham (Dr Sheppard); Primary Care Unit, University of Cambridge, Cambridge (Dr Mant); Faculty of Health and Medical Sciences, University of Surrey, Guildford (Mr Quinn); and Department of Primary Care Health Sciences, National Institute for Health Research School for Primary Care Research, University of Oxford, Oxford (Dr McManus), England.
We read with interest the article by Palmer and colleagues1 demonstrating the association between weekend stroke admissions and reduced same-day brain scans, lower thrombolysis rates, and poorer patient outcomes. This study confirms our own findings from the Optimisation of the Management of Stroke and Transient Ischemic Attack project.2 We recruited 221 patients with confirmed stroke (including 223 stroke events) from 2 urban hospitals in the West Midlands (United Kingdom) between November 1, 2010, and August 31, 2011. Hospital and emergency medical service records were interrogated and data extracted on times to hospital and scan, pre-hospital assessments, and route to hospital.
Sheppard JP, Mant J, Quinn T, McManus RJ. Something for the Weekend?. JAMA Neurol. 2013;70(1):130. doi:10.1001/jamaneurol.2013.651