Stroke care in young patients

L. Tancredi, F. Martinelli Boneschi, M. Braga, I. Santilli, C. Scaccabarozzi, P. Lattuada, M. Sessa, L. Fumagalli, S. Iurlaro, I. Neromante, M. L. De Lodovici, D. V. Roccatagliata, G. Giacalone, M. Arnaboldi, V. Crespi, E. Agostoni, G. C. Comi, C. Ferrarese, R. Sterzi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The aims of this study were (i) to evaluate the clinical features of a consecutive series of young patients with ischemic stroke and (ii) to assess the changes in the clinical management of these patients over the study period. All consecutive cases of young adults aged 16 to 44 years, with ischemic stroke, that were admitted between 2000 and 2005 in 10 Italian hospitals were included. We retrospectively identified 324 patients. One or more vascular risk factors were present in 71.5% of the patients. With respect to the diagnostic process, an increase in the frequency of cerebral noninvasive angiographic studies and a decrease in the use of digital subtraction angiography were observed (P <0.001 and P = 0.03, resp.). Undetermined causes decreased over 5-year period of study (P <0.001). The diagnosis of cardioembolism increased. Thrombolysis was performed for 7.7% of the patients. PFO closure (8%) was the most frequently employed surgical procedure. In conclusion, the clinical care that is given to young patients with ischemic stroke changed over the study period. In particular, we detected an evolution in the diagnostic process and a reduction in the number of undetermined cases.

Original languageEnglish
Article number715380
JournalStroke Research and Treatment
DOIs
Publication statusPublished - 2013

Fingerprint

Stroke
Digital Subtraction Angiography
Young Adult

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Tancredi, L., Martinelli Boneschi, F., Braga, M., Santilli, I., Scaccabarozzi, C., Lattuada, P., ... Sterzi, R. (2013). Stroke care in young patients. Stroke Research and Treatment, [715380]. https://doi.org/10.1155/2013/715380

Stroke care in young patients. / Tancredi, L.; Martinelli Boneschi, F.; Braga, M.; Santilli, I.; Scaccabarozzi, C.; Lattuada, P.; Sessa, M.; Fumagalli, L.; Iurlaro, S.; Neromante, I.; De Lodovici, M. L.; Roccatagliata, D. V.; Giacalone, G.; Arnaboldi, M.; Crespi, V.; Agostoni, E.; Comi, G. C.; Ferrarese, C.; Sterzi, R.

In: Stroke Research and Treatment, 2013.

Research output: Contribution to journalArticle

Tancredi, L, Martinelli Boneschi, F, Braga, M, Santilli, I, Scaccabarozzi, C, Lattuada, P, Sessa, M, Fumagalli, L, Iurlaro, S, Neromante, I, De Lodovici, ML, Roccatagliata, DV, Giacalone, G, Arnaboldi, M, Crespi, V, Agostoni, E, Comi, GC, Ferrarese, C & Sterzi, R 2013, 'Stroke care in young patients', Stroke Research and Treatment. https://doi.org/10.1155/2013/715380
Tancredi L, Martinelli Boneschi F, Braga M, Santilli I, Scaccabarozzi C, Lattuada P et al. Stroke care in young patients. Stroke Research and Treatment. 2013. 715380. https://doi.org/10.1155/2013/715380
Tancredi, L. ; Martinelli Boneschi, F. ; Braga, M. ; Santilli, I. ; Scaccabarozzi, C. ; Lattuada, P. ; Sessa, M. ; Fumagalli, L. ; Iurlaro, S. ; Neromante, I. ; De Lodovici, M. L. ; Roccatagliata, D. V. ; Giacalone, G. ; Arnaboldi, M. ; Crespi, V. ; Agostoni, E. ; Comi, G. C. ; Ferrarese, C. ; Sterzi, R. / Stroke care in young patients. In: Stroke Research and Treatment. 2013.
@article{1a8c55dbe4c94e5c845b8ad09dd146b5,
title = "Stroke care in young patients",
abstract = "The aims of this study were (i) to evaluate the clinical features of a consecutive series of young patients with ischemic stroke and (ii) to assess the changes in the clinical management of these patients over the study period. All consecutive cases of young adults aged 16 to 44 years, with ischemic stroke, that were admitted between 2000 and 2005 in 10 Italian hospitals were included. We retrospectively identified 324 patients. One or more vascular risk factors were present in 71.5{\%} of the patients. With respect to the diagnostic process, an increase in the frequency of cerebral noninvasive angiographic studies and a decrease in the use of digital subtraction angiography were observed (P <0.001 and P = 0.03, resp.). Undetermined causes decreased over 5-year period of study (P <0.001). The diagnosis of cardioembolism increased. Thrombolysis was performed for 7.7{\%} of the patients. PFO closure (8{\%}) was the most frequently employed surgical procedure. In conclusion, the clinical care that is given to young patients with ischemic stroke changed over the study period. In particular, we detected an evolution in the diagnostic process and a reduction in the number of undetermined cases.",
author = "L. Tancredi and {Martinelli Boneschi}, F. and M. Braga and I. Santilli and C. Scaccabarozzi and P. Lattuada and M. Sessa and L. Fumagalli and S. Iurlaro and I. Neromante and {De Lodovici}, {M. L.} and Roccatagliata, {D. V.} and G. Giacalone and M. Arnaboldi and V. Crespi and E. Agostoni and Comi, {G. C.} and C. Ferrarese and R. Sterzi",
year = "2013",
doi = "10.1155/2013/715380",
language = "English",
journal = "Stroke Research and Treatment",
issn = "2090-8105",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Stroke care in young patients

AU - Tancredi, L.

AU - Martinelli Boneschi, F.

AU - Braga, M.

AU - Santilli, I.

AU - Scaccabarozzi, C.

AU - Lattuada, P.

AU - Sessa, M.

AU - Fumagalli, L.

AU - Iurlaro, S.

AU - Neromante, I.

AU - De Lodovici, M. L.

AU - Roccatagliata, D. V.

AU - Giacalone, G.

AU - Arnaboldi, M.

AU - Crespi, V.

AU - Agostoni, E.

AU - Comi, G. C.

AU - Ferrarese, C.

AU - Sterzi, R.

PY - 2013

Y1 - 2013

N2 - The aims of this study were (i) to evaluate the clinical features of a consecutive series of young patients with ischemic stroke and (ii) to assess the changes in the clinical management of these patients over the study period. All consecutive cases of young adults aged 16 to 44 years, with ischemic stroke, that were admitted between 2000 and 2005 in 10 Italian hospitals were included. We retrospectively identified 324 patients. One or more vascular risk factors were present in 71.5% of the patients. With respect to the diagnostic process, an increase in the frequency of cerebral noninvasive angiographic studies and a decrease in the use of digital subtraction angiography were observed (P <0.001 and P = 0.03, resp.). Undetermined causes decreased over 5-year period of study (P <0.001). The diagnosis of cardioembolism increased. Thrombolysis was performed for 7.7% of the patients. PFO closure (8%) was the most frequently employed surgical procedure. In conclusion, the clinical care that is given to young patients with ischemic stroke changed over the study period. In particular, we detected an evolution in the diagnostic process and a reduction in the number of undetermined cases.

AB - The aims of this study were (i) to evaluate the clinical features of a consecutive series of young patients with ischemic stroke and (ii) to assess the changes in the clinical management of these patients over the study period. All consecutive cases of young adults aged 16 to 44 years, with ischemic stroke, that were admitted between 2000 and 2005 in 10 Italian hospitals were included. We retrospectively identified 324 patients. One or more vascular risk factors were present in 71.5% of the patients. With respect to the diagnostic process, an increase in the frequency of cerebral noninvasive angiographic studies and a decrease in the use of digital subtraction angiography were observed (P <0.001 and P = 0.03, resp.). Undetermined causes decreased over 5-year period of study (P <0.001). The diagnosis of cardioembolism increased. Thrombolysis was performed for 7.7% of the patients. PFO closure (8%) was the most frequently employed surgical procedure. In conclusion, the clinical care that is given to young patients with ischemic stroke changed over the study period. In particular, we detected an evolution in the diagnostic process and a reduction in the number of undetermined cases.

UR - http://www.scopus.com/inward/record.url?scp=84875484571&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875484571&partnerID=8YFLogxK

U2 - 10.1155/2013/715380

DO - 10.1155/2013/715380

M3 - Article

C2 - 23533963

AN - SCOPUS:84875484571

JO - Stroke Research and Treatment

JF - Stroke Research and Treatment

SN - 2090-8105

M1 - 715380

ER -