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Risk-adjusted hospital mortality rates for stroke: evidence from the Australian Stroke Clinical Registry (AuSCR)

Kim Sutherland, Jean-Frederic Levesque and Julia Chessman
Med J Aust 2017; 207 (7): 315. || doi: 10.5694/mja17.00405
Published online: 2 October 2017

Cadilhac and colleagues1 explore an important issue in the measurement and reporting of stroke outcomes. We agree that appropriate risk-adjustment methods are essential to compare hospital outcomes. We also agree that stroke severity is an important predictor of mortality for individual patients. However, we do not agree that determining stroke severity is essential for robust risk-adjustment approaches.

  • Kim Sutherland1
  • Jean-Frederic Levesque1,2
  • Julia Chessman1

  • 1 Bureau of Health Information, Sydney, NSW
  • 2 Centre for Primary Health Care and Equity, UNSW Sydney, Sydney, NSW


Competing interests:

No relevant disclosures.

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