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1. A Prospective Community-Based Study of Stroke in Southern Italy: The Vibo Valentia Incidence of Stroke Study (VISS)

Author

Vincenzo Giunta, Antonio Di Carlo, Francesco Naso, Valerio Manno, Antonino Vecchio, Alfonso Furchì, Franco Galati, Gaetano Grillo, Domenico Consoli, Domenico Inzitari, and Marzia Baldereschi

Subjects
medicine.medical_specialty, business.industry, Incidence (epidemiology), Community based study, medicine.disease, Neurology, Epidemiology, Emergency medicine, Physical therapy, Medicine, Neurology (clinical), Cardiology and Cardiovascular Medicine, business, Stroke
Abstract

Background and Purpose: Data on stroke morbidity are lacking in southern Italy, an area with about 20 million inhabitants and a mean income lower than the rest of the country. Therefore a population-based stroke register was established to determine incidence and case fatality in the Province of Vibo Valentia, Calabria. Methods: The survey was conducted among the 179,186 residents. Standard definitions and multiple case-finding procedures were employed. All identified cases of first-ever stroke were followed at 28 days, 3 and 12 months. The registration started on January 1, 1996, and ended on December 31, 1996. Results: A total of 321 first-ever-in-a-lifetime strokes were identified. The crude annual incidence rate was 1.79 (95% CI 1.60–1.99) per 1,000 inhabitants. Rates age-standardized to the 1996 Italian population and to the standard European population were, respectively, 1.99 (95% CI 1.79–2.20) and 1.36 (95% CI 1.19–1.53) per 1,000 inhabitants. A subtype diagnosis was reached in 96% of patients. The crude annual incidence rates per 1,000 inhabitants were 1.31 for cerebral infarction, 0.35 for intracerebral hemorrhage, 0.06 for subarachnoid hemorrhage, and 0.07 for unspecified stroke. Overall case fatality was 23.7% at 28 days, 27.4% at 3 months and 40.2% at 12 months. Conclusions: This is the first prospective population-based stroke register established in southern Italy. Incidence and case fatality were comparable to those previously reported in northern and central Italy and other industrialized countries. Our estimates are useful for developing management services and allocating resources.

Published
2003
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2. European Stroke Initiative Recommendations for Stroke Management – Update 2003

Author

Wen-Jang Wong, Tsutomu Takahashi, F. Schlachetzki, Alfonso Furchì, E. Gerardin, Alfredo Dragani, Vincenzo Giunta, José L. Zubieta, Antonio Carolei, A. Triquenot-Bagan, Shuzo Shintani, Michael Kulig, Inmaculada Colina, Hung-Yi Hsu, Ale Algra, Luis García-Eroles, Siviero Agazzi, Josef G. Heckmann, Duk L. Na, Ignacio Monreal, Jérôme Honnorat, Francesco Naso, Simona Sacco, E. Kirsch, Chang-Ming Chern, A.D. Mendelow, Jean-Claude Froment, Adrià Arboix, Laurent Derex, A. Montavont, Wen-Yung Sheng, Yong Sheng Li, Jean-Guy Villemure, Antonio Di Carlo, Yeong-Jin Lim, Jae-Kwan Cha, Louis R. Caplan, Takashi Ueda, B. Ogungbo, Montserrat Oliveres, N. Nighoghossian, F. Leroy, Stefan N. Willich, E. Guegan-Massardier, Masakazu Kohno, J K Lovett, Tatsuo Shiigai, B. Mihout, Han-Hwa Hu, Dietmar Krex, Ynte M. Ruigrok, Pablo Irimia, Franco Galati, Marzia Baldereschi, Eduardo Martínez-Vila, Terry B.J. Kuo, Young Min Song, Peter M. Rothwell, Christian Blomstrand, Yong Jeong, Valerio Manno, Paul Trouillas, Inke R. König, Gabriele Schackert, Anders Möller, A.J. Steck, Josune Orbe, Saran Jonas, Ji-Yeon Jang, Gaetano Grillo, Hae-Rahn Bae, E.W. Radü, Ph.A. Lyrer, H.J. Kaiser, Andreas Ziegler, Staffan Eksborg, Luca Regli, Antonino Vecchio, Gunnel Carlsson, Domenico Consoli, Domenico Inzitari, Min-Ho Jeong, Bernhard Neundörfer, José A. Páramo, Max J. Hilz, David Quartermain, B. Gregson, José M. Ferro, Shin Tsuruoka, Hans K. Schackert, Cheryl C.H. Yang, Gyeong-Moon Kim, E. Stolz, Jung Sun Kim, Sang-Ho Kim, Michaela Cheregi, Giovanni Davì, Javier Díez, Emili Comes, Jae Woo Kim, Louise Martinsson, Cecilia Targa, Gabriel J.E. Rinkel, J.F. Weber, Oscar Beloqui, Y. Onnient, Miquel Balcells, Nils Wahlgren, Joaquin Barba, Marc Hermier, Philippe Maeder, Kazushi Yukiiri, A. Rahimi, Yves Berthezène, Katsufumi Mizushige, E. Philippeau, Jacqueline Müller-Nordhorn, Clive M. Brown, C. Klötzsch, M. Kaps, Karin Rossnagel, Kenji Ishii, and Alberto Benito

Subjects
Emergency Medical Services, medicine.medical_specialty, Rehabilitation, Practice patterns, business.industry, medicine.medical_treatment, Alternative medicine, MEDLINE, Guideline, medicine.disease, Europe, Stroke, Patient Education as Topic, Neurology, Family medicine, medicine, Physical therapy, Humans, Neurology (clinical), Practice Patterns, Physicians', Cardiology and Cardiovascular Medicine, business, Referral and Consultation
Abstract

This article represents the update of ‘European Stroke Initiative Recommendations for Stroke Management’, first published in this Journal in 2000. The recommendations are endorsed by the 3 European societies which are represented in the European Stroke Initiative: the European Stroke Council, the European Neurological Society and the European Federation of Neurological Societies.

Published
2003
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3. Contents Vol. 16, 2003

Author

Pablo Irimia, Katsufumi Mizushige, A.D. Mendelow, B. Ogungbo, N. Nighoghossian, Yong Sheng Li, A.J. Steck, Valerio Manno, E. Gerardin, Bernhard Neundörfer, E. Guegan-Massardier, Alfredo Dragani, Luca Regli, Ignacio Monreal, Hans K. Schackert, Cheryl C.H. Yang, Hae-Rahn Bae, Duk L. Na, Inmaculada Colina, J. L. Zubieta, Ynte M. Ruigrok, Michaela Cheregi, Francesco Naso, Gabriele Schackert, Joaquín Barba, Young Min Song, Wen-Jang Wong, Tatsuo Shiigai, Josef G. Heckmann, Yeong-Jin Lim, Takashi Ueda, Andreas Ziegler, Gunnel Carlsson, Min-Ho Jeong, José A. Páramo, Saran Jonas, Montserrat Oliveres, Eduardo Martínez-Vila, Karin Rossnagel, Yong Jeong, Inke R. König, Domenico Consoli, H.J. Kaiser, Domenico Inzitari, Antonino Vecchio, Jean-Claude Froment, Anders Möller, Kazushi Yukiiri, Hung-Yi Hsu, Laurent Derex, F. Schlachetzki, Gaetano Grillo, Chang-Ming Chern, Siviero Agazzi, Jean-Guy Villemure, A. Montavont, Alfonso Furchì, Louis R. Caplan, Vincenzo Giunta, Gyeong-Moon Kim, Wen-Yung Sheng, A. Triquenot-Bagan, Giovanni Davì, B. Mihout, Han-Hwa Hu, Dietmar Krex, Michael Kulig, Jérôme Honnorat, Clive M. Brown, Adrià Arboix, Louise Martinsson, Christian Blomstrand, Jae-Kwan Cha, Peter M. Rothwell, F. Leroy, Antonio Di Carlo, Paul Trouillas, Franco Galati, Antonio Carolei, Terry B.J. Kuo, Josune Orbe, Ji-Yeon Jang, Ale Algra, Luis García-Eroles, Max J. Hilz, Cecilia Targa, Ph.A. Lyrer, Gabriel J.E. Rinkel, José M. Ferro, Alberto Benito, J.F. Weber, Stefan N. Willich, Oscar Beloqui, Staffan Eksborg, Y. Onnient, A. Rahimi, Yves Berthezène, Miquel Balcells, Nils Wahlgren, Marc Hermier, Philippe Maeder, Marzia Baldereschi, Shin Tsuruoka, E. Kirsch, Jacqueline Müller-Nordhorn, Kenji Ishii, Javier Díez, Masakazu Kohno, J K Lovett, Simona Sacco, C. Klötzsch, M. Kaps, Emili Comes, Tsutomu Takahashi, Jae Woo Kim, E. Philippeau, Shuzo Shintani, David Quartermain, B. Gregson, E. Stolz, Jung Sun Kim, Sang-Ho Kim, and E.W. Radü

Subjects
Neurology, Traditional medicine, business.industry, Medicine, Neurology (clinical), Cardiology and Cardiovascular Medicine, business
Published
2003
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4. A prospective community-based study of stroke in Southern Italy: the Vibo Valentia incidence of stroke study (VISS). Methodology, incidence and case fatality at 28 days, 3 and 12 months

Author

Antonio, Di Carlo, Domenico, Inzitari, Franco, Galati, Marzia, Baldereschi, Vincenzo, Giunta, Gaetano, Grillo, Alfonso, Furchì, Valerio, Manno, Francesco, Naso, Antonino, Vecchio, and Domenico, Consoli

Subjects
Adult, Aged, 80 and over, Male, Adolescent, Incidence, Middle Aged, Stroke, Survival Rate, Age Distribution, Treatment Outcome, Italy, Population Surveillance, Humans, Female, Prospective Studies, Registries, Sex Distribution, Aged
Abstract

Data on stroke morbidity are lacking in southern Italy, an area with about 20 million inhabitants and a mean income lower than the rest of the country. Therefore a population-based stroke register was established to determine incidence and case fatality in the Province of Vibo Valentia, Calabria.The survey was conducted among the 179186 residents. Standard definitions and multiple case-finding procedures were employed. All identified cases of first-ever stroke were followed at 28 days, 3 and 12 months. The registration started on January 1, 1996, and ended on December 31, 1996.A total of 321 first-ever-in-a-lifetime strokes were identified. The crude annual incidence rate was 1.79 (95% CI 1.60-1.99) per 1000 inhabitants. Rates age-standardized to the 1996 Italian population and to the standard European population were, respectively, 1.99 (95% CI 1.79-2.20) and 1.36 (95% CI 1.19-1.53) per 1000 inhabitants. A subtype diagnosis was reached in 96% of patients. The crude annual incidence rates per 1000 inhabitants were 1.31 for cerebral infarction, 0.35 for intracerebral hemorrhage, 0.06 for subarachnoid hemorrhage, and 0.07 for unspecified stroke. Overall case fatality was 23.7% at 28 days, 27.4% at 3 months and 40.2% at 12 months.This is the first prospective population-based stroke register established in southern Italy. Incidence and case fatality were comparable to those previously reported in northern and central Italy and other industrialized countries. Our estimates are useful for developing management services and allocating resources.

Published
2002

5. Subject Index Vol. 16, 2003

Author

Antonino Vecchio, Valerio Manno, E. Stolz, Jung Sun Kim, Sang-Ho Kim, Giovanni Davì, Andreas Ziegler, Jacqueline Müller-Nordhorn, C. Klötzsch, M. Kaps, Domenico Consoli, Domenico Inzitari, Siviero Agazzi, Simona Sacco, Laurent Derex, Masakazu Kohno, J K Lovett, A.D. Mendelow, Joaquín Barba, Yong Sheng Li, Young Min Song, Jean-Guy Villemure, A. Rahimi, Saran Jonas, Yves Berthezène, A. Montavont, Min-Ho Jeong, E. Guegan-Massardier, José A. Páramo, H.J. Kaiser, Jérôme Honnorat, Ph.A. Lyrer, B. Mihout, Jean-Claude Froment, Javier Díez, Louis R. Caplan, Josune Orbe, Marc Hermier, Karin Rossnagel, Kazushi Yukiiri, Gunnel Carlsson, Hans K. Schackert, Han-Hwa Hu, Dietmar Krex, Max J. Hilz, Jae-Kwan Cha, B. Ogungbo, N. Nighoghossian, Ji-Yeon Jang, Wen-Yung Sheng, Tatsuo Shiigai, Tsutomu Takahashi, F. Leroy, Hung-Yi Hsu, Louise Martinsson, Cheryl C.H. Yang, José M. Ferro, Hae-Rahn Bae, Chang-Ming Chern, Ignacio Monreal, Michaela Cheregi, E.W. Radü, Philippe Maeder, Marzia Baldereschi, Luca Regli, Miquel Balcells, Nils Wahlgren, Yong Jeong, Yeong-Jin Lim, Takashi Ueda, Gabriele Schackert, Christian Blomstrand, E. Kirsch, Anders Möller, Emili Comes, Adrià Arboix, Inmaculada Colina, Jae Woo Kim, Stefan N. Willich, Inke R. König, Bernhard Neundörfer, Vincenzo Giunta, Gyeong-Moon Kim, Eduardo Martínez-Vila, Peter M. Rothwell, Antonio Di Carlo, J. L. Zubieta, Wen-Jang Wong, Paul Trouillas, A. Triquenot-Bagan, Shuzo Shintani, Michael Kulig, Pablo Irimia, Gaetano Grillo, Ynte M. Ruigrok, Josef G. Heckmann, F. Schlachetzki, David Quartermain, B. Gregson, Clive M. Brown, Shin Tsuruoka, A.J. Steck, Katsufumi Mizushige, Franco Galati, Antonio Carolei, Terry B.J. Kuo, E. Philippeau, Kenji Ishii, Cecilia Targa, Alfonso Furchì, Gabriel J.E. Rinkel, Duk L. Na, Francesco Naso, E. Gerardin, Montserrat Oliveres, Alfredo Dragani, Ale Algra, Luis García-Eroles, Alberto Benito, J.F. Weber, Oscar Beloqui, Staffan Eksborg, and Y. Onnient

Subjects
Index (economics), Neurology, business.industry, Statistics, Medicine, Subject (documents), Neurology (clinical), Cardiology and Cardiovascular Medicine, business
Published
2003
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