Author Response: Risk and Predictors of Depression Following Acute Ischemic Stroke in the Elderly

We would like to thank Patel et al. for their thoughtful reflection on our study.1 Evaluation setting is important in screening for depression after stroke and myocardial infarction because transient mood changes in the acute inpatient setting have different implications from persistent mood changes in the long-term outpatient setting. We sought to maximize sensitivity by including outpatient and inpatient claims, as recommended by some who have validated case definitions for depression in administrative data, and acknowledge that a greater percentage of patients are discharged home after myocardial infarction than stroke.2

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