Current territorial organization for access to revascularization therapies for acute ischemic stroke in the Veneto region (Italy) from 2017 to 2021.
| Title: | Current territorial organization for access to revascularization therapies for acute ischemic stroke in the Veneto region (Italy) from 2017 to 2021. |
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| Authors: | Cappellari M; Stroke Unit, DAI Di Neuroscienze, Azienda Ospedaliera Universitaria Integrata, Piazzale A. Stefani 1, 37126, Verona, Italy. manuel_cappellari@libero.it.; Bonetti B; Stroke Unit, DAI Di Neuroscienze, Azienda Ospedaliera Universitaria Integrata, Piazzale A. Stefani 1, 37126, Verona, Italy.; Baracchini C; Stroke Unit, Azienda Ospedaliera Università Di Padova, Padova, Italy.; Corbetta M; Stroke Unit, Azienda Ospedaliera Università Di Padova, Padova, Italy.; De Boni A; Stroke Unit, Ospedale San Bortolo, Vicenza, Italy.; Critelli A; Stroke Unit, Ospedale Dell'Angelo, Mestre, Italy.; Tonello S; Stroke Unit, Ospedale Ca' Foncello, Treviso, Italy.; Codemo V; Stroke Unit, Ospedale Santa Maria Della Misericordia, Rovigo, Italy.; Marcon M; Stroke Unit, Ospedale Cazzavillan, Arzignano, Italy.; Turinese E; Stroke Unit, Ospedale San Bassiano, Bassano del Grappa, Italy.; Bombardi R; Stroke Unit, Ospedale Alto Vicentino, Santorso, Italy.; Basile AM; Stroke Unit, Ospedale Sant'Antonio, Padova, Italy.; Ruzza G; Stroke Unit, Ospedale Di Cittadella, Cittadella, Italy.; Cadaldini M; Stroke Unit, Ospedali Riuniti Padova Sud, Este, Schiavonia, Italy.; Mampreso E; Stroke Unit, Ospedale Di Piove Di Sacco, Piove Di Sacco, Italy.; Marsala SZ; Stroke Unit, Ospedale San Martino, Belluno, Italy.; Padoan R; Stroke Unit, Ospedale Santa Maria del Prato, Feltre, Italy.; Marini B; Stroke Unit, Ospedale San Giacomo Apostolo, Castelfranco Veneto, Italy.; Gaudenzi A; Stroke Unit, Ospedale Santa Maria Dei Battuti, Conegliano Veneto, Italy.; Tonon A; Stroke Unit, Ospedale Santi Giovanni E Paolo, Venezia, Italy.; Masato M; Stroke Unit, Ospedale Di Mirano, Mirano, Italy.; Baldi A; Stroke Unit, Ospedale Di Portogruaro, Portogruaro, Italy.; Turazzini M; Stroke Unit, Ospedale Mater Salutis, Legnago, Italy.; Zanette G; Stroke Unit, Ospedale Pederzoli, Peschiera del Garda, Italy.; Adami A; IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy.; Saia M; UOC Governo Clinico Assistenziale, Regione Veneto, Azienda Zero, Padova, Italy.; Bovi P; Italian Stroke Association, Italy, Verona. |
| Source: | Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [Neurol Sci] 2023 Jun; Vol. 44 (6), pp. 2033-2039. Date of Electronic Publication: 2023 Feb 08. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 100959175 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1590-3478 (Electronic) Linking ISSN: 15901874 NLM ISO Abbreviation: Neurol Sci Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Milano, Italy : Springer-Verlag Italia, c2000- |
| MeSH Terms: | Ischemic Stroke*/epidemiology ; Ischemic Stroke*/surgery ; Brain Ischemia*/epidemiology ; Brain Ischemia*/surgery ; Stroke*/epidemiology ; Stroke*/surgery; Italy/epidemiology ; Humans ; Fibrinolytic Agents ; Thrombolytic Therapy ; Thrombectomy ; Retrospective Studies ; Treatment Outcome |
| Abstract: | Introduction: To evaluate the access to treatments with intravenous thrombolysis (IVT) and/or mechanical thrombectomy (MT) in acute ischemic stroke patients admitted to stroke units (SUs) of Veneto region (Italy) according to current "hub-and-spoke" model from 2017 to 2021.; Patients and Methods: We retrospectively analyzed data on treatments with IVT and/or MT for stroke patients admitted to the 23 SUs (6 Hubs and 17 Spokes) of the 6 macro-areas including 9 local sanitary units (LSUs) and 2 hospitals.; Results: We reported 6093 treatments with IVT alone, 1114 with IVT plus MT, and 921 with MT alone. Number of stroke unit (SU) beds/100,000 inhabitants ranges from 2.3 to 2.8, and no difference was found among different macro-areas. Number of treatments/100,000 inhabitants/year ranges from 19 to 34 for IVT alone, from 2 to 7 for IVT plus MT, and from 2 to 5 for MT alone. Number of IVT alone/SU bed/year ranges from 9 to 21 in the Hub and from 6 to 12 in the Spokes. Rate of IVT plus MT in patients directly arrived in the same LSU's Hub ranges from 50 to 81%, likewise the one of MT alone ranges from 49 to 84%.; Conclusions: Treatment target rates of IVT and MT set by Action Plan for Stroke in Europe 2018-2030 has been globally exceeded in the Veneto region. However, the target rate of MT and access revascularization treatments is heterogeneous among different macro-areas. Further efforts should be made to homogenize the current territorial organization.; (© 2023. Fondazione Società Italiana di Neurologia.) |
| Comments: | Erratum in: Neurol Sci. 2023 Oct;44(10):3769. doi: 10.1007/s10072-023-06890-x.. (PMID: 37294391) |
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| Contributed Indexing: | Keywords: Hub-and-spoke model; Stroke; Thrombectomy; Thrombolysis |
| Substance Nomenclature: | 0 (Fibrinolytic Agents) |
| Entry Date(s): | Date Created: 20230208 Date Completed: 20230515 Latest Revision: 20230611 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC9905755 |
| DOI: | 10.1007/s10072-023-06662-7 |
| PMID: | 36753010 |
| Database: | MEDLINE |
Journal Article