Table 9.
Effects of Admission Time on Primary Outcomes (mRS=5 to 6) Among Acute Stroke Patients by Japan Coma Scale
Japan Coma Scale | Admission Time | Total Population | IS | SAH | ICH | ||||
---|---|---|---|---|---|---|---|---|---|
Adjusted OR* (95% CI) | P Value* | Adjusted OR* (95% CI) | P Value* | Adjusted OR* (95% CI) | P Value* | Adjusted OR* (95% CI) | P Value* | ||
0 | Working‐hours | 1.00 (reference) | — | 1.00 (reference) | — | 1.00 (reference) | — | 1.00 (reference) | — |
Off‐hour | 1.45 (1.33 to 1.58) | <0.001 | 1.07 (0.87 to 1.33) | 0.515 | 0.87 (0.48 to 1.56) | 0.633 | 1.29 (0.86 to 1.93) | 0.220 | |
Nighttime | 1.45 (1.33 to 1.58) | <0.001 | 1.59 (1.11 to 2.29) | 0.011 | 0.83 (0.34 to 1.99) | 0.672 | 2.87 (1.66 to 4.98) | <0.001 | |
1‐digit | Working‐hours | 1.00 (reference) | — | 1.00 (reference) | — | 1.00 (reference) | — | 1.00 (reference) | — |
Off‐hour | 1.20 (1.09 to 1.33) | <0.001 | 1.20 (1.07 to 1.36) | 0.003 | 1.00 (0.64 to 1.55) | 0.998 | 1.21 (1.00 to 1.45) | 0.044 | |
Nighttime | 1.06 (0.89 to 1.26) | 0.536 | 0.98 (0.78 to 1.23) | 0.856 | 1.28 (0.71 to 2.31) | 0.416 | 1.01 (0.73 to 1.41) | 0.941 | |
2‐digit | Working‐hours | 1.00 (reference) | — | 1.00 (reference) | — | 1.00 (reference) | — | 1.00 (reference) | — |
Off‐hour | 1.08 (0.94 to 1.24) | 0.295 | 1.03 (0.85 to 1.25) | 0.770 | 0.93 (0.60 to 1.44) | 0.751 | 1.18 (0.93 to 1.48) | 0.170 | |
Nighttime | 0.91 (0.73 to 1.14) | 0.406 | 0.89 (0.63 to 1.25) | 0.498 | 1.56 (0.84 to 2.88) | 0.160 | 0.81 (0.57 to 1.16) | 0.250 | |
3‐digit | Working‐hours | 1.00 (reference) | — | 1.00 (reference) | — | 1.00 (reference) | — | 1.00 (reference) | — |
Off‐hour | 0.81 (0.69 to 0.95) | 0.008 | 0.65 (0.48 to 0.88) | 0.006 | 0.81 (0.60 to 1.10) | 0.169 | 0.89 (0.70 to 1.13) | 0.325 | |
Nighttime | 0.70 (0.57 to 0.86) | 0.001 | 0.50 (0.31 to 0.81) | 0.005 | 0.77 (0.51 to 1.15) | 0.196 | 0.67 (0.49 to 0.90) | 0.009 |
ICH indicates intracerebral hemorrhage; IS, ischemic stroke; mRS, modified Rankin Scale; SAH, subarachnoid hemorrhage.
Off‐hour and nighttime were compared with working‐hours.
Adjusted for age, sex, hypertension, diabetes mellitus, hyperlipidemia, and hospital volume.