Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor
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.
Alberts MJ. Issues in Establishing Primary Stroke Centers—Reply. JAMA. 2000;284(13):1647. doi:10.1001/jama.284.13.1647
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