Incidence and Prognosis of Stroke in the Belluno Province, Italy

Lauria, Giuseppe; Gentile, M.; Fassetta, G; Casetta, Ilaria; Agnoli, F.; Andreotta, G.; Barp, Claudio; Caneve, Giorgio; Cavallaro, A.; Cielo, R; Mongillo, D.; Mosca, Massimiliano; Olivieri, P.

doi:10.1161/01.str.26.10.1787

Cited by 121 publications

(133 citation statements)

References 37 publications

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“…The use of DRG14 for the selection and identification of acute stroke services presents a limitation due to the possible misuse of ICD classification [10]. Nevertheless our national and regional data on the distributions of DRG14 are in line with recent epidemiological studies on the incidence of stroke in Italy [11][12][13][14]. The methods of data collection by direct local interview with the head of each service and the accuracy and consistency of the results support the validity of our methodological approach.…”

Section: Discussionsupporting

confidence: 77%

Stroke units and general wards in seven Italian regions: the PROSIT Study

et al. 2005

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PROSIT (research PROject on Stroke services in ITaly) is a study performed to evaluate number and work organisation of acute in-hospital services (stroke units, SU) and general wards (GW), in seven Italian regions (Liguria, Lombardia, Lazio, Veneto, Friuli-Venezia-Giulia, Emilia Romagna, Toscana), which have a population of 29 169 811 inhabitants and a relative ratio of 225/100 000 hospitalisations for acute stroke. The registers of hospital discharges from January to December 1999 were looked at identify to services recording at least 50 acute stroke discharges (DRG14) per year. A structured questionnaire investigating stroke service characteristics was submitted to the doctors in charge of the identified units and completed in the presence of an external observer between October 2000 and February 2001. SUs were identified as units with dedicated beds (at least 80%) and team (at least 1 physician and 1 nurse) for acute stroke patients. SUs are still uncommon in many Italian regions because only, as 7% of the wards evaluated were found to be a SU and less than 10% of acute stroke patients resulted to be admitted to a SU. Great heterogeneity was found between the different regions surveyed. The most striking differences between SUs and GW were related to the staffing and care organisation, with higher number/patients ratio in SUs as far as physicians and nurses, speech therapists and social workers were concerned.

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Section: Discussionsupporting

confidence: 77%

Stroke units and general wards in seven Italian regions: the PROSIT Study

et al. 2005

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“…The prevalence of vascular risk factors in the investigational cohort was roughly similar to that in overall Italian patients with ischemic stroke or myocardial infarction as regards smoking habit, hypertension, and hypercholesterolemia, whereas the prevalence of diabetes or atrial fibrillation was about half that in the general surveys. [24][25][26] Inherited or acquired thrombophilia was investigated in only 142 patients, being present in 29.5% of them with the positive results balanced between patients with polycythemia vera or essential thrombocythemia. Mild hyperhomocysteinemia was found in eight patients, antiphosholipid antibodies in six, inherited thrombophilia in 20, and a combination of inherited thrombophilia and antiphospholid antibodies or hyperhomocysteinemia in eight.…”

Section: Study Patientsmentioning

confidence: 99%

Recurrent thrombosis in patients with polycythemia vera and essential thrombocythemia: incidence, risk factors, and effect of treatments

et al. 2008

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“…Studies reported earlier state that hemorrhagic stroke has higher mortality risk than ischemic strokes. [11][12][13][14][15][16][17][18][19][20] To our knowledge, current study is the first to assess the effect of PNF exercises on functional outcome and QoL in acute stroke. Paolucci et al 21 have stated that the patients with hemorrhagic stroke have better functional prognosis but the other prognostic factors, such as stroke origin, stroke severity, age, and onset to origin interval strongly affect the functional outcome.…”

Section: Discussionmentioning

confidence: 95%

Effects of Early Proprioceptive Neuromuscular Facilitation Exercises on Functional Outcome and Quality of Life in Patients with Stroke

Chaturvedi¹,

Tiwari²,

Singh³

et al. 2017

MGM Journal of Medical Sciences

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Objective: To evaluate the effects of proprioceptive neuromuscular facilitation (PNF) exercises on functional outcome and quality of life (QoL) in patients with acute stroke. Materials and methods:Ninety patients were recruited in this study and divided into two groups: Patients admitted within 48 hours after stroke (group I, n = 41) and patients referred from elsewhere after 2 to 3 weeks (group II, n = 49). Both groups were given PNF exercises for 4 weeks. Functional outcome was assessed by Barthel Index (BI), and QoL was assessed by Stroke-Specific Quality of Life (SSQOL) scale before and after the intervention. Patients were followed up in the outpatient department of the Department of Neurology at 1, 3, and 6 months and BI and SSQOL scores were again assessed.Results: Group I showed significant and better recovery in functional activities (p < 0.05) and better QoL as compared with group II (p < 0.05). We also compared functional outcome and QoL in ischemic vs hemorrhagic stroke (p = 0.284) and left vs right stroke (p = 0.973) and found there was no significant difference.Conclusion: Improvement in activities of daily living may result in better QoL. The PNF exercises are very effective in improving muscle tone, functional outcome, and QoL. The PNF exercises should be given from the first day after stroke.

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Incidence and Prognosis of Stroke in the Belluno Province, Italy

Abstract: Our first-year results confirm the fairly high risk for stroke in central and northern Italy and support European findings regarding risk factors for stroke.

Cited by 121 publications

References 37 publications

Stroke units and general wards in seven Italian regions: the PROSIT Study

Stroke units and general wards in seven Italian regions: the PROSIT Study

Recurrent thrombosis in patients with polycythemia vera and essential thrombocythemia: incidence, risk factors, and effect of treatments

Effects of Early Proprioceptive Neuromuscular Facilitation Exercises on Functional Outcome and Quality of Life in Patients with Stroke

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