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Something for the Weekend?

James P. Sheppard, PhD, BSc; Jonathan Mant, MA, MSc, MBBS, MD, FFPH; Tom Quinn, FRCN, FESC; Richard J. McManus, PhD, FRCGP
JAMA Neurol. 2013;70(1):130. doi:10.1001/jamaneurol.2013.651.
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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.



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