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Coverage of the requirements of first and second level stroke unit in Italy.

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Title: Coverage of the requirements of first and second level stroke unit in Italy.
Authors: Bandettini di Poggio, Monica (AUTHOR), Toni, Danilo (AUTHOR), Gandolfo, Carlo (AUTHOR), Paolicelli, Damiano (AUTHOR), Zini, Andrea (AUTHOR), Agostoni, Elio (AUTHOR), Bandini, Fabio (AUTHOR), Ragno, Michele (AUTHOR), Altavista, Maria Concetta (AUTHOR), Bertolotto, Antonio (AUTHOR), Siciliano, Gabriele (AUTHOR), Vecchio, Michele (AUTHOR), Tambasco, Nicola (AUTHOR), Gambardella, Antonio (AUTHOR), Manganotti, Paolo (AUTHOR), Melis, Maurizio (AUTHOR), Onofrj, Marco (AUTHOR), De Michele, Giuseppe (AUTHOR), Reale, Nicoletta (AUTHOR), Tedeschi, Gioacchino (AUTHOR)
Source: Neurological Sciences. 2021, Vol. 42 Issue 3, p1073-1079. 7p. 1 Chart, 2 Maps.
Subjects: Stroke units, Cerebrovascular disease, Stroke patients, Scientific literature, National territory
Geographic Terms: Italy
Abstract: Background and aim: In the scientific literature, there is unanimous consensus that hospitalization in stroke unit (SU) is the most important treatment for stroke patients. In this regard, the Act number 70/2015 by the Italian government identified specific skills that contribute to a classification of SU and outlined a "hub and spoke" stroke network. The aim of our study was to check the coverage of requirements of first and second level SU in the national territory and to shed light on any deficit or misdistribution of resources. Material and methods: In 2019, a survey on the current situation related to stroke care in Italy was carried out by the Italian Society of Neurology (SIN), The Italian Stroke Organization (ISO), and the Association for the Fight against Stroke (A.L.I.Ce). Results: First level SU was found to be 58 against a requirement, according to the Act 70/2015, of 240. Second level SU was found to be 52 compared with an expected requirement of 60. Neurointerventionists were 280 nationally, with a requirement of 240. A misdistribution of resources within individual regions was often seen. Conclusions: The survey demonstrated a severe shortage of beds dedicated to cerebrovascular diseases, mainly because of lack of first level SU, especially in central and southern Italy. It also suggests that the current hub and spoke system is not yet fully implemented across the country and that resources should be better distributed in order to ensure uniform and fair care for all stroke patients on the whole territory. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature 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
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  Data: Coverage of the requirements of first and second level stroke unit in Italy.
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  Data: <searchLink fieldCode="AR" term="%22Bandettini+di+Poggio%2C+Monica%22">Bandettini di Poggio, Monica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Toni%2C+Danilo%22">Toni, Danilo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gandolfo%2C+Carlo%22">Gandolfo, Carlo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Paolicelli%2C+Damiano%22">Paolicelli, Damiano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zini%2C+Andrea%22">Zini, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Agostoni%2C+Elio%22">Agostoni, Elio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bandini%2C+Fabio%22">Bandini, Fabio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ragno%2C+Michele%22">Ragno, Michele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Altavista%2C+Maria+Concetta%22">Altavista, Maria Concetta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bertolotto%2C+Antonio%22">Bertolotto, Antonio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Siciliano%2C+Gabriele%22">Siciliano, Gabriele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vecchio%2C+Michele%22">Vecchio, Michele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tambasco%2C+Nicola%22">Tambasco, Nicola</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gambardella%2C+Antonio%22">Gambardella, Antonio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Manganotti%2C+Paolo%22">Manganotti, Paolo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Melis%2C+Maurizio%22">Melis, Maurizio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Onofrj%2C+Marco%22">Onofrj, Marco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Michele%2C+Giuseppe%22">De Michele, Giuseppe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reale%2C+Nicoletta%22">Reale, Nicoletta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tedeschi%2C+Gioacchino%22">Tedeschi, Gioacchino</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. 2021, Vol. 42 Issue 3, p1073-1079. 7p. 1 Chart, 2 Maps.
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  Data: <searchLink fieldCode="DE" term="%22Stroke+units%22">Stroke units</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebrovascular+disease%22">Cerebrovascular disease</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+patients%22">Stroke patients</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+literature%22">Scientific literature</searchLink><br /><searchLink fieldCode="DE" term="%22National+territory%22">National territory</searchLink>
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  Data: Background and aim: In the scientific literature, there is unanimous consensus that hospitalization in stroke unit (SU) is the most important treatment for stroke patients. In this regard, the Act number 70/2015 by the Italian government identified specific skills that contribute to a classification of SU and outlined a "hub and spoke" stroke network. The aim of our study was to check the coverage of requirements of first and second level SU in the national territory and to shed light on any deficit or misdistribution of resources. Material and methods: In 2019, a survey on the current situation related to stroke care in Italy was carried out by the Italian Society of Neurology (SIN), The Italian Stroke Organization (ISO), and the Association for the Fight against Stroke (A.L.I.Ce). Results: First level SU was found to be 58 against a requirement, according to the Act 70/2015, of 240. Second level SU was found to be 52 compared with an expected requirement of 60. Neurointerventionists were 280 nationally, with a requirement of 240. A misdistribution of resources within individual regions was often seen. Conclusions: The survey demonstrated a severe shortage of beds dedicated to cerebrovascular diseases, mainly because of lack of first level SU, especially in central and southern Italy. It also suggests that the current hub and spoke system is not yet fully implemented across the country and that resources should be better distributed in order to ensure uniform and fair care for all stroke patients on the whole territory. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature 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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