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Table 1 Demographic and routine clinical data for collection

From: Acceptability of the method of administration of a patient-reported outcome measure (PROM) with stroke survivors, a randomised controlled trial protocol

Demographic data

Routinely collected clinical data

Date of birth


Classification of stroke:

Cerebral Infarct (ICD I63)

Cerebrovascular Haemorrhage (ICD I61)

Stroke – not specified as Haemorrhage or Infarction (ICD I64)


Date of index event (date of stroke)

Individual National Institutes of Health Stroke Score (NIHSS) on admission:


District-level postcode –

First 3–4 digits of a UK post code


Treated with thrombolysis?

Yes / No


Modified Rankin Score on discharge or transfer from stroke unit:



Clinically confirmed diagnosis of aphasia as sequela of ICD I63, I61 or I64?: (data collected at 3 sites within a single Health Board only)

Yes / No