Hospital-based register of stroke in the Molise Region: focus on main subtypes of stroke. Years 2009–2013
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- 作者：Licia Iacoviello ; Simona Costanzo ; Mariarosaria Persichillo…
- 关键词：Ischemic stroke ; Intracerebral hemorrhage ; Subarachnoid hemorrhage ; Hospital discharge records ; Cerebrovascular registry
- 刊名：Neurological Sciences
- 出版年：2016
- 出版时间：February 2016
- 年：2016
- 卷：37
- 期：2
- 页码：191-198
- 全文大小：409 KB
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Simona Costanzo (1)
Mariarosaria Persichillo (1)
Antonio Sparano (2)
Michelangelo Bartolo (3)
Bianca Maria Polizzi (4)
Maria Benedetta Donati (1)
Giovanni de Gaetano (1)
1. Unit of Molecular and Nutritional Epidemiology, Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo Neuromed, Viale dell’Elettronica, 86077, Pozzilli, Italy
2. Centro per la diagnosi e la cura dell’ictus cerebri (Stroke Unit), Pozzilli, Italy
3. Unità di Neuroriabilitazione, IRCCS Istituto Neurologico Mediterraneo, Neuromed, Pozzilli, Italy
4. Direzione Generale della Prevenzione Sanitaria - CCM, Ministero della Salute, Rome, Italy - 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Neurology
Neuroradiology
Neurosurgery
Psychiatry - 出版者：Springer Milan
- ISSN：1590-3478
文摘
We determined incidence and intra-hospital mortality rate of stroke in Molise, Italy, to provide information for planning regional healthcare facilities and to ameliorate stroke management in this region. This study is part of the "Rete Molisana dell’Ictus Cerebrale (REMOLIC)” study, a population-based Cerebrovascular Registry in Molise, from 2009 to 2013, with a cold pursuit approach. The crude annual incidence rates for total stroke per 100,000 inhabitants, notified by hospital discharge records, were 198 for 2009, 185 for 2010, 169 for 2011, and 176 for both 2012 and 2013. There was a significant decrease in risk in the years 2011–2013 [RR2011 vs. 2009: 0.85 (0.76–0.98), RR2012 vs. 2009: 0.89 (0.79–0.99), RR2013 vs. 2009: 0.89 (0.79–0.99)] as compared with 2009. For the year 2010, after adjustment to the Italian, European, and world populations, the overall incidence rates were 165, 134, and 67 per 100,000/year, respectively. Similar trends were found when men and women were analyzed separately. In the average, 20.8 % of subjects admitted for a cerebrovascular accident died during the hospitalization, among these 93.5 % in the first 28 days. The duration of hospital stay was constant in the years (2009–2012), except during 2013, where there was a significant decrease in the average (p < 0.001). Our study shows incidence rates decreasing from 2009 to 2013, while mortality rates were stable during the same years. This study underlines the need to plan better stroke management in Italy, in order to obtain outcomes more similar to those of the best performing countries. Keywords Ischemic stroke Intracerebral hemorrhage Subarachnoid hemorrhage Hospital discharge records Cerebrovascular registry