The objective to establish a register of all patients admitted to Dundee ho
spitals with acute stroke has been achieved. To do this a computerised data
base system has been established and a prospective survey has been conducte
d of clinical data of patients at time of admission, with follow-up at one
and three years. All patients with a WHO diagnosis of acute stroke (excludi
ng patients with subarachnoid haemorrhage), from January 1988 have been rec
orded By the end of 1998, 3222 patients had been registered. The Dundee Str
oke register database is the largest in Scotland and one of the largest in
the world. The establishment of the register and database has required subs
tantial investment of resources and the collaboration of the NHS, universit
ies and the private sector The operation of the register has heightened int
erest in stroke. It also provides present and future opportunities for clin
ical research and audit studies and the monitoring of outcomes.