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ARTICLES: G. Saposnik, A. Baibergenova, M. O'Donnell, M. D. Hill, M. K. Kapral, V. Hachinski On behalf of the Stroke Outcome Research Canada (SORCan) Working Group Hospital volume and stroke outcome: Does it matter? Neurology 2007; 69: 1142-1151 [Abstract] [Full text] [PDF]

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Hospital volume and stroke outcome: Does it matter?

James M Gordon   (12 October 2007)

Reply from the authors

Gustavo Saposnik   (12 October 2007)

Hospital volume and stroke outcome: Does it matter? 12 October 2007
James M Gordon, Northwest Hospital 1570 N 115th St. Suite 14, Seattle, WA 98133 Send Correspondence to journal: Re: Hospital volume and stroke outcome: Does it matter? neurojim{at}yahoo.com James M Gordon	Saposnik et al provide strong evidence that hospital volume generally predicts in-hospital mortality. [1] This begs the question whether in-hospital mortality is the best—or even a good— measure of stroke outcome. Did volume influence functional outcome or mortality at 3, 6, and 12 months? Reference 1. Saposnik G, Baibergenova A, O’Donnell M, Hill MD, Kapral MK, V. Hachinski On behalf of the Stroke Outcome Research Canada (SORCan) Working Group. Hospital volume and stroke outcome. Neurology 2007; 0: 01.wnl.0000268485.93349.58v1 Disclosure: The author reports no conflicts of interest.
Reply from the authors 12 October 2007
Gustavo Saposnik, Assistant Professor in Medicine (Neurology) University of Toronto Send Correspondence to journal: Re: Reply from the authors saposnikg{at}smh.toronto.on.ca Gustavo Saposnik	We appreciate Dr. Gordon’s interest and comments regarding our recently published article. [1] Unfortunately, we have no information about functional or long-term outcomes. We are currently working to further analyze the impact of organized care on stroke outcomes at 7 days, 30 days and 1 year. Disclosure: Dr. Gustavo Saposnik received supprt from Heart Stroke Foundation Canada, the Canadian Institute for Health Research, Connaught Foundation, and Department of Research at St. Michael Hospital. Dr. Martin O'Donnell is supported by a grant from the CIHR. Dr. Moira Kapral is supported by a New Investigator Award from the CIHR and also received support from the Canadian Stroke Network and the University Health Network Women's Health Program. Dr. Michael Hill is supported by the Heart and Stroke Foundation of Alberta/NWT/NU and the Canadian Institutes for Health Research. These grants were obtained based on competitive applications following publication of grant advertisements. The investigators acted as the sponsors of the study. None of the supporting agencies (HSFC, CSN, CIHR) had input on the design, access to the data, analyses, interpretation, or publication of the study.