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HomeStrokeVol. 38, No. 9Response to Letter by Janszky et al Free AccessLetterPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessLetterPDF/EPUBResponse to Letter by Janszky et al Gustavo Saposnik, MD, MSc Gustavo SaposnikGustavo Saposnik Director, Stroke Research Program, St. Michael’s Hospital and SE Toronto Regional Stroke Center, Assistant Professor in Medicine, University of Toronto, Toronto, Canada Search for more papers by this author Originally published26 Jul 2007https://doi.org/10.1161/STROKEAHA.107.492546Stroke. 2007;38:e95Other version(s) of this articleYou are viewing the most recent version of this article. Previous versions: July 26, 2007: Previous Version 1 Response:We would like to thank Dr Janszky and colleagues for their interest in our article and data provided.1 They analyzed the weekend effect in the Swedish Hospital Discharge Register (unpublished data).2 Dr Janszky and colleagues found higher adjusted mortality and lesser discharge home for patients admitted on weekends with ischemic cerebral infarction, and also for patients with hemorrhagic stroke.These results confirm the importance of our observation in a different region, setting and healthcare system emphasizing the variability in stroke disability and mortality for weekend admissions. Further studies are necessary to better understand the underlying mechanisms of this phenomenon and the impact of other health system variables on stroke outcome.3–5DisclosuresNone.1 Saposnik G, Baibergenova A, Bayer N, Hachinski V. Weekends: a dangerous time for having a stroke? Stroke. 2007; 38: 1211–1215.LinkGoogle Scholar2 Schaufelberger M, Swedberg K, Koster M, Rosen M, Rosengren A. Decreasing one-year mortality and hospitalization rates for heart failure in Sweden: data from the Swedish Hospital Discharge Registry 1988 to 2000. Eur Heart J. 2004; 25: 300–307.CrossrefMedlineGoogle Scholar3 Saposnik G, Baibergenova A, O’Donnell M, Hill M, Kapral M, Hachinski V. Hospital volume and stroke mortality: does it matter? Neurology. 2007; 69: 1–11.Google Scholar4 Goldstein LB, Matchar DB, Hoff-Lindquist J, Samsa GP, Horner RD. VA stroke study: neurologist care is associated with increased testing but improved outcomes. Neurology. 2003; 61: 792–796.CrossrefMedlineGoogle Scholar5 Kapral MK, Wang H, Mamdani M, Tu JV. Effect of socioeconomic status on treatment and mortality after stroke. Stroke. 2002; 33: 268–273.CrossrefMedlineGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetails September 2007Vol 38, Issue 9 Advertisement Article InformationMetrics https://doi.org/10.1161/STROKEAHA.107.492546 Originally publishedJuly 26, 2007 PDF download Advertisement
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