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Some go on with a steady aim and true stroke, and make wickets, and hit balls, yet are croqueted back ingloriously or hopelessly wired and lose the game, while others blunder advantageously and are croqueted along by skillful partners into all the best places".
The stroke onset date may therefore be imprecisely recorded in primary care, perhaps often being recorded after the true stroke onset date.
More important is whether stroke cases ascertained are indeed likely to be true stroke cases.
Similar(57)
To include only true strokes, we considered patients with ICD9CM codes 430 438 reported in the HIS.
In this study, we did not address the question of sensitivity of record linkage methods for identifying strokes, that is, what proportion of true strokes occurring in the population were not identified using death certificate data and hospital record linkage.
The reverse was true for stroke.
True acute stroke among patients only registered in the DSR: 0.88*2,429=2,138.
True acute stroke among patients only registered in the DNRP: 0.20*1,722=344.
True acute stroke among patients registered in both the DSR and DNRP: 0.91*8,278=7,533.
Our study showed that large tertiary hospitals had better concordance for the recording of hypertension and heart disease than smaller urban hospitals, but the reverse was true for stroke and smoking.
If it is true that stroke pathways fail to improve outcome at discharge and may even be associated with an adverse effect upon outcome, it is interesting to speculate why this might be so.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com