Incidence of first-ever ischemic and hemorrhagic stroke in a well-defined community of southern Italy, 1993-1995

被引:40
作者
Intiso, D
Stampatore, P
Zarrelli, MM
Guerra, GL
Arpaia, G
Simone, P
Tonali, P
Beghi, E
机构
[1] IRCCS, Dept Neurol, I-71013 San Giovanni Rotondo, FG, Italy
[2] Osped Civile San Marco Lamis, Lamis, FG, Italy
[3] Osped San Gerardo, Monza, Italy
[4] Ist Ric Farmacol Mario Negri, Milan, Italy
关键词
cerebral infarction; epidemiology; first-ever stroke; incidence; intracerebral hemorrhage; Italy;
D O I
10.1046/j.1468-1331.2003.00648.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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 13848 9, 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.
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页码:559 / 565
页数:7
相关论文
共 30 条
[1]  
AHO K, 1980, B WORLD HEALTH ORGAN, V58, P113
[2]   A PROSPECTIVE-STUDY OF ACUTE CEREBROVASCULAR-DISEASE IN THE COMMUNITY - THE OXFORDSHIRE-COMMUNITY-STROKE-PROJECT 1981-86 .1. METHODOLOGY, DEMOGRAPHY AND INCIDENT CASES OF 1ST-EVER STROKE [J].
BAMFORD, J ;
SANDERCOCK, P ;
DENNIS, M ;
WARLOW, C ;
JONES, L ;
MCPHERSON, K ;
VESSEY, M ;
FOWLER, G ;
MOLYNEUX, A ;
HUGHES, T ;
BURN, J ;
WADE, D .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1988, 51 (11) :1373-1380
[3]   STROKE INCIDENCE AND CASE-FATALITY IN AUSTRALASIA - A COMPARISON OF THE AUCKLAND AND PERTH POPULATION-BASED STROKE REGISTERS [J].
BONITA, R ;
ANDERSON, CS ;
BROAD, JB ;
JAMROZIK, KD ;
STEWARTWYNNE, EG ;
ANDERSON, NE .
STROKE, 1994, 25 (03) :552-557
[4]  
Broderick J P, 1993, Ann Epidemiol, V3, P476
[5]   High stroke incidence in the prospective community-based L'Aquila Registry (1994-1998) - First year's results [J].
Carolei, A ;
Marini, C ;
DiNapoli, M ;
DiGianfilippo, G ;
Santalucia, P ;
Baldassarre, M ;
DeMatteis, G ;
diOrio, F .
STROKE, 1997, 28 (12) :2500-2506
[6]   ACCURACY OF DEATH CERTIFICATION OF STROKE - THE FRAMINGHAM-STUDY [J].
CORWIN, LI ;
WOLF, PA ;
KANNEL, WB ;
MCNAMARA, PM .
STROKE, 1982, 13 (06) :818-821
[7]   PROSPECTIVE COMMUNITY-BASED STUDY OF STROKE IN WARSAW, POLAND [J].
CZLONKOWSKA, A ;
RYGLEWICZ, D ;
WEISSBEIN, T ;
BARANSKAGIERUSZCZAK, M ;
HIER, DB .
STROKE, 1994, 25 (03) :547-551
[8]   Temporal trends of stroke in Valle d'Aosta, Italy. Incidence and 30-day fatality rates [J].
D'Alessandro, G ;
Bottacchi, E ;
Di Giovanni, M ;
Martinazzo, C ;
Sironi, L ;
Lia, C ;
Carenini, L ;
Corso, G ;
Gerbaz, V ;
Polillo, C ;
Compagnoni, MP .
NEUROLOGICAL SCIENCES, 2000, 21 (01) :13-18
[9]   INCIDENCE AND PROGNOSIS OF STROKE IN THE VALLE-DAOSTA, ITALY - 1ST-YEAR RESULTS OF A COMMUNITY-BASED STUDY [J].
DALESSANDRO, G ;
DIGIOVANNI, M ;
ROVEYAZ, L ;
IANNIZZI, L ;
COMPAGNONI, MP ;
BLANC, S ;
BOTTACCHI, E .
STROKE, 1992, 23 (12) :1712-1715
[10]   UPDATE OF TRENDS IN MORTALITY FROM STROKE IN ITALY FROM 1955 TO 1987 [J].
DAVANZO, B ;
LAVECCHIA, C ;
NEGRI, E ;
BEGHI, E .
NEUROEPIDEMIOLOGY, 1992, 11 (4-6) :196-203