Because discharge against medical advice (DAMA) was not a required field in the system before 2017, more than 90% of these data were missing. Thus, the trend analyses were assessed starting from 2017 for in-hospital death and DAMA. Error bars indicate 95% CIs. ICH indicates intracerebral hemorrhage; IS, ischemic stroke; MACE, major adverse cardiovascular event; SAH, subarachnoid hemorrhage; SNC, stroke not classified; and TIA, transient ischemic attack.