Published Online
on November 10, 2005

A more recent version of this article appeared on December 1, 2005

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Submitted on March 20, 2005
Revised on September 7, 2005
Accepted on September 27, 2005

First-Ever Stroke Incidence and 30-Day Case Fatality in the Sicilian Aeolian Archipelago, Italy

Rosa Musolino MD^*; Paolino La Spina MD; Salvatore Serra MD; Paolo Postorino MD; Salvatore Calabró MD; Rodolfo Savica MD; Giovanni Salemi MD; and Giuseppe Gallitto MD, PhD

From the Dipartimento di Neuroscienze (R.M., P.L., S.S., P.P., S.C., R.S., G.G.), Scienze Psichiatriche e Anestesiologiche, Cl. Neurologica I°, Policlinico Universitario di Messina, Italy; and Dipartimento di Neurologia (S.G.), Università di Palermo, Italy.

^* To whom correspondence should be addressed. E-mail: Rosa.Musolino{at}unime.it.

Background and Purpose--Not many data on stroke epidemiology come from studies on islands. This is the first report on a Mediterranean archipelago population.

Methods--Using recommended criteria, from July 1, 1999, to June 30, 2002, information was collected on first-ever stroke and 30-day case fatality in Aeolian island residents (13 431).

Results--The overall crude incidence rate was 154 of 100 000 (95% CI, 118 to 197; 128 in men and 180 in women) or 180, 154, and 87, if adjusted to the Italian, European, and world populations, respectively. The 30-day case fatality rate was 24.2% (95% CI, 14.22 to 36.75).

Conclusions--Besides genetic or dietary factors, our results may reflect local, limited possibilities of diagnosis and management for stroke patients.

Key words: epidemiology • incidence • stroke

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