The role of admission timing in the outcome of intracerebral hemorrhage patients at a specialized stroke center

Introduction: Admission at ‘off times’ has been suggested to result in increased risk of poor outcome. The utilization of high volume centers may be a potential remedy to this variability in care. Objective: To assess the ability of a high volume center to mitigate variability in care due to timing of admission in a post hoc analysis of an observational study. Methods: The medical records of 200 hypertensive intracerebral hemorrhage (ICH) patients admitted to the Neurological Intensive Care Unit (NICU) from 12 January 2009 to 4 April 2013 were identified and examined for variable outcome based on admission timing using the modified Rankin Scale (mRS). Multiple logistic regression was used to assess predictors of poor outcome, correcting severity of admission. Results: Seventy-five admissions were recorded to have occurred on the weekend. The 3-month follow-up mRS of surviving patients was 3·78 in weekend admissions and 3·63 in weekday admissions (P  =  0·62). One hundred and seven night admissions occurre...