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Stroke mortality linked to weekend working

Seven day working for doctors and nurses may be related to mortality after stroke, according to the first study to examine the evidence base from the Royal College of Physicians Stroke programme.

The study found:

• A link between mortality of stroke patients and the nurse to patient ratio. Weekend nursing rations were strongly associated with mortality outcomes, not only for patients admitted at a weekend but also for those admitted on a weekday.

• Patients admitted to a stroke unit with 1.5 registered nurses/ten beds had an estimated adjusted 30-d mortality risk of 15.2% compared to 11.2% for patients admitted to a unit with 3.0 nurses/ten beds, equivalent to one excess death per 25 admissions.

• Of the patients admitted to a stroke unit, patient mortality risk did not differ whether stroke specialist physician rounds were seven days per week or fewer than seven days per week. Many stroke units in the UK are already carrying out doing five-day consultant ward rounds.


1. Bray BD, Ayis S, Campbell J, et al. Associations between stroke mortality and weekend working by stroke specialist physicians and registered nurses: prospective multicentre cohort study. PLoS Med 2014;11:e1001705.

Published on: September 26, 2014

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  • ArrhythmiaAlliance
  • Stars
  • Anticoagulation Europe
  • Atrial Fibrillation Association

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