Stroke, Vol 23, 1712-1715, Copyright © 1992 by American Heart Association
G D'Alessandro, M Di Giovanni, L Roveyaz, L Iannizzi, MP Compagnoni, S Blanc and E Bottacchi
BACKGROUND AND PURPOSE: We sought to determine the incidence rate, risk
factors, and prognosis of stroke in Valle d'Aosta, Italy, to provide
information for planning regional health-care facilities. METHODS: We
undertook a prospective study of all new cases of stroke in the
geographically defined population of 114,325 residents of Valle d'Aosta in
northern Italy. RESULTS: In the first year of the study (January 1-
December 31, 1989), 254 cases of first stroke were registered. The crude
annual incidence rate was 2.23/1,000, 1.98/1,000 for men and 2.46/1,000 for
women. After adjustment to the 1988 Italian population, the incidence rate
for first stroke was 2.15/1,000 per year, 2.48/1,000 per year for men and
1.99/1,000 per year for women. The pathological diagnosis was cerebral
infarction in 67%, intracranial hemorrhage in 15%, and unknown in 18%. The
overall 30-day case-fatality rate was 31%. In survivors, Barthel Index
Score recorded at 30 days from stroke onset showed that 100 patients (62%)
were dependent in activities of daily living. CONCLUSIONS: Our results do
not differ significantly from those reported in Umbria, the only similar
study performed in Italy, and support non-Italian data as to risk factors
in stroke.
ARTICLES
Incidence and prognosis of stroke in the Valle d'Aosta, Italy. First- year results of a community-based study
Unita Operativa di Neurologia, Ospedale Regionale di Aosta, Italy.
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