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"Currently, only several dozen hospitals meet the definition of stroke centers as published in the article, and the number really has to increase to several hundred," said Dr. Mark J. Alberts, director of the stroke unit at the Duke University Medical Center and the lead author of the article.
An Updated Definition of Stroke for the 21st Century: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association: Stroke.
Another limitation regards the definition of stroke.
Of the 41 codes that only three raters affirmed as consistent with acute stroke, 16 were for subarachnoid haemorrhage which is included in the WHO definition of stroke but not in the definition of stroke used in the Quality and Outcomes Framework of the UK general practice contract.
The definition of stroke included fatal and nonfatal stroke.
*Clinical definition of stroke: focal neurological deficit due to cerebrovascular disease haemorrhage and subdural haematoma.
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International Classification of Diseases, Clinical Modification codes were administered for the definition of PHDs, stroke, and stroke risk factors.
Transient ischemic attack and asymptomatic stroke were not included in both the definition of ischemic stroke end point and stroke history at baseline.
The traditional definition of a stroke, [ 1], is "a neurological deficit of cerebrovascular cause that persists beyond 24 hours or is interrupted by death within 24 hours".
Consent was obtained from patients or their relatives, and patients who fulfilled the study definition of acute stroke were consecutively enrolled into the study.
In this study we used the identical stringent definitions of post stroke infection and non-infected patients reported previously; as a consequence, all parameters obtained on admission and on day 1 were determined in the absence of clinical and paraclinical signs of infection.
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