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October 4, 2000

Issues in Establishing Primary Stroke Centers—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor


Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2000

JAMA. 2000;284(13):1647. doi:10.1001/jama.284.13.1647

In Reply: Dr Zorowitz points out the importance of early rehabilitation in stroke care, which we certainly support. Early rehabilitation is part of almost every stroke protocol, and we strongly endorse the use of such protocols, as we indicated in our article. In our discussion we also stated our support for early rehabilitation. However, since a significant proportion of poststroke rehabilitation can occur outside of the initial treating hospital, we do not feel that a primary stroke center hospital must necessarily have on-site comprehensive rehabilitation. This would further restrict and reduce the number of hospitals able to provide acute stroke care. The issue of rehabilitation will be addressed in a future article article that focuses on comprehensive stroke centers.

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