Abstract
Between 1 January 1989 and 31 December 1990 568 consecutive patients were admitted to our unit for ischemic stroke (defined on clinical criteria and with CT or MR evidence of ischemic areas or exclusion of hemorrhage or tumor). The interval between onset of symptoms and arrival in hospital was under 6 h in 270 cases (47.5%). We classified our population according to the clinical criteria proposed by Bamford et al. by subgroup as follows: LACI (27.5%); PACI (24.5%); TACI (30.6%); POCI (17.4%). The mortality in our population was 10.9%. The distribution of the risk factors considered was: hypertension in 387 cases (67%), diabetes in 158 cases (27.8%), NVAF in 95 cases (16.7%). Our data show that about a half of all patients with ischemic stroke can expect to receive treatment at the acute stage.
Sommario
Dal 1 Gennaio 1989 al 31 Dicembre 1990 sono stati ricoverati nel nostro Reparto 568 casi consecutivi di Ictus Ischemico (definiti in base a criteri clinici e con evidenza T.C. o R.M.N. di aree ischemiche o esclusione di emorragia o neoplasia) il tempo intercorso fra l'inizio dei sintomi e l'arrivo in Ospedale è stato inferiore alle 6 ore in 270 casi (47,5%).
Abbiamo classificato la nostra popolazione, in accordo con i criteri clinici proposti da Bamford et al., nei seguenti gruppi LACI (27,5%); PACI (24,5%); TACI (30,6%); POCI (17,4%).
La mortalità della nostra popolazione è del 10,9% (68/568).
I fattori di rischio considerati sono risultati così distribuiti: l'ipertensione è presente in 387 casi (67%); il diabete in 158 casi (27,8%), la F.A.N.V. in 95 casi (16,7%).
Dai nostri dati emerge che per circa la metà dei pazienti con ictus ischemico è possibile ipotizzare un trattamento in acuto.
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Rottoli, M.R., Foresti, C. & Defanti, C.A. Before M.A.S.T.-I: Analysis of the population of a participating center. Ital J Neuro Sci 14, 55–59 (1993). https://doi.org/10.1007/BF02339043
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DOI: https://doi.org/10.1007/BF02339043