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Stroke classification in these administrative data were optimal using all discharge diagnoses for ischemic stroke and primary discharge diagnosis only for intracerebral and subarachnoid hemorrhage. Selecting ischemic stroke patients on the basis of primary discharge diagnosis may bias administrative samples toward more benign, unrepresentative outcomes and should be avoided.
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David Tirschwell
W. T. Longstreth
Stroke
Harborview Medical Center
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Tirschwell et al. (Tue,) studied this question.
www.synapsesocial.com/papers/69d738333f2a6ac123b8a8e0 — DOI: https://doi.org/10.1161/01.str.0000032240.28636.bd