Incidence of first-ever ischemic and hemorrhagic stroke in a well-defined community of southern Italy, 1993–1995.
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| Title: | Incidence of first-ever ischemic and hemorrhagic stroke in a well-defined community of southern Italy, 1993–1995. |
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| Authors: | Intiso, D., Stampatore, P., Zarrelli, M.M., Guerra, G.L., Arpaia, G., Simone, P., Tonali, P., Beghi, E. |
| Source: | European Journal of Neurology. Sep2003, Vol. 10 Issue 5, p559. 7p. |
| Subjects: | Cerebral ischemia, Cerebral hemorrhage, Epidemiology, Mortality, Cerebrovascular disease |
| Geographic Terms: | Italy |
| Abstract: | Most epidemiological surveys in the Italian population, have concentrated on areas of northern and central Italy. The incidence of the first-ever ischemic and hemorrhagic strokes in a well-defined population of the province of Foggia, a rural area of southern Italy, over a 3-year period has been investigated, to compare the occurrence of stroke by type in this and other areas. A retrospective study in a local health district (USL FG3) in the province of Foggia was conducted and all cases of first-ever cerebral infarction (CI) and intracerebral hemorrhage (ICH) in the local population (41 269) from January 1, 1993 to December 31, 1995 have been investigated. Case ascertainment was performed by a chart review in the two local hospitals and examination of death certificates. General practitioners were also asked to report on non-hospitalized cases suffering a stroke during the study period. Patients with recurrent stroke, unclassifiable stroke, transient ischemic attacks and subarachnoid hemorrhage were excluded. Risk factors for stroke and 30-day mortality were investigated. The rates were standardized to the Italian population (57 138 489, 1991 census). During the 3-year study period, 202 patients had a first-ever ischemic or hemorrhagic stroke (66 in 1993, 69 in 1994 and 67 in 1995). Of these, 174 (86.1%) had cerebral ischemia, accounting for 57, 60 and 57 cases in the three index years. The overall crude annual incidence of CI and ICH was 1.60, 1.67 and 1.62 of 1000 for 1993, 1994 and 1995, respectively. The corresponding standardized incidences rates were 2.0, 2.10 and 2.06 of 1000. The rate was 0.11 in patients <55 years of age, and 1.97, 7.01, 13.52, and 25.34 at ages 55–64, 65–74, 75–84, and 85+ years for the entire period; the 30-day mortality was 27.2, 21.7, and 15% for 1993, 1994, and 1995, respectively. Hypertension (45.9%), diabetes (26.4%) and atrial fibrillation (16.6%) were the most common risk factors. The incidence of CI and ICH was similar to that of most other Italian studies. It was constant during the 3-year period, and mostly involved older people. [ABSTRACT FROM AUTHOR] |
| Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 10691691 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Incidence of first-ever ischemic and hemorrhagic stroke in a well-defined community of southern Italy, 1993–1995. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Intiso%2C+D%2E%22">Intiso, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Stampatore%2C+P%2E%22">Stampatore, P.</searchLink><br /><searchLink fieldCode="AR" term="%22Zarrelli%2C+M%2EM%2E%22">Zarrelli, M.M.</searchLink><br /><searchLink fieldCode="AR" term="%22Guerra%2C+G%2EL%2E%22">Guerra, G.L.</searchLink><br /><searchLink fieldCode="AR" term="%22Arpaia%2C+G%2E%22">Arpaia, G.</searchLink><br /><searchLink fieldCode="AR" term="%22Simone%2C+P%2E%22">Simone, P.</searchLink><br /><searchLink fieldCode="AR" term="%22Tonali%2C+P%2E%22">Tonali, P.</searchLink><br /><searchLink fieldCode="AR" term="%22Beghi%2C+E%2E%22">Beghi, E.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Journal+of+Neurology%22">European Journal of Neurology</searchLink>. Sep2003, Vol. 10 Issue 5, p559. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cerebral+ischemia%22">Cerebral ischemia</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebral+hemorrhage%22">Cerebral hemorrhage</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemiology%22">Epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Mortality%22">Mortality</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebrovascular+disease%22">Cerebrovascular disease</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Italy%22">Italy</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Most epidemiological surveys in the Italian population, have concentrated on areas of northern and central Italy. The incidence of the first-ever ischemic and hemorrhagic strokes in a well-defined population of the province of Foggia, a rural area of southern Italy, over a 3-year period has been investigated, to compare the occurrence of stroke by type in this and other areas. A retrospective study in a local health district (USL FG3) in the province of Foggia was conducted and all cases of first-ever cerebral infarction (CI) and intracerebral hemorrhage (ICH) in the local population (41 269) from January 1, 1993 to December 31, 1995 have been investigated. Case ascertainment was performed by a chart review in the two local hospitals and examination of death certificates. General practitioners were also asked to report on non-hospitalized cases suffering a stroke during the study period. Patients with recurrent stroke, unclassifiable stroke, transient ischemic attacks and subarachnoid hemorrhage were excluded. Risk factors for stroke and 30-day mortality were investigated. The rates were standardized to the Italian population (57 138 489, 1991 census). During the 3-year study period, 202 patients had a first-ever ischemic or hemorrhagic stroke (66 in 1993, 69 in 1994 and 67 in 1995). Of these, 174 (86.1%) had cerebral ischemia, accounting for 57, 60 and 57 cases in the three index years. The overall crude annual incidence of CI and ICH was 1.60, 1.67 and 1.62 of 1000 for 1993, 1994 and 1995, respectively. The corresponding standardized incidences rates were 2.0, 2.10 and 2.06 of 1000. The rate was 0.11 in patients <55 years of age, and 1.97, 7.01, 13.52, and 25.34 at ages 55–64, 65–74, 75–84, and 85+ years for the entire period; the 30-day mortality was 27.2, 21.7, and 15% for 1993, 1994, and 1995, respectively. Hypertension (45.9%), diabetes (26.4%) and atrial fibrillation (16.6%) were the most common risk factors. The incidence of CI and ICH was similar to that of most other Italian studies. It was constant during the 3-year period, and mostly involved older people. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1046/j.1468-1331.2003.00648.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 559 Subjects: – SubjectFull: Cerebral ischemia Type: general – SubjectFull: Cerebral hemorrhage Type: general – SubjectFull: Epidemiology Type: general – SubjectFull: Mortality Type: general – SubjectFull: Cerebrovascular disease Type: general – SubjectFull: Italy Type: general Titles: – TitleFull: Incidence of first-ever ischemic and hemorrhagic stroke in a well-defined community of southern Italy, 1993–1995. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Intiso, D. – PersonEntity: Name: NameFull: Stampatore, P. – PersonEntity: Name: NameFull: Zarrelli, M.M. – PersonEntity: Name: NameFull: Guerra, G.L. – PersonEntity: Name: NameFull: Arpaia, G. – PersonEntity: Name: NameFull: Simone, P. – PersonEntity: Name: NameFull: Tonali, P. – PersonEntity: Name: NameFull: Beghi, E. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2003 Type: published Y: 2003 Identifiers: – Type: issn-print Value: 13515101 Numbering: – Type: volume Value: 10 – Type: issue Value: 5 Titles: – TitleFull: European Journal of Neurology Type: main |
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