Stroke management in northern Lombardy: Organization of an emergency-urgency network and development of a connection between prehospital and in-hospital settings

Simone Vidale, Elena Verrengia, Francesca Gerardi, Marco Arnaboldi, Giacomo Bezzi, Giorgio Bono, Mario Guidotti, Giampiero Grampa, Patrizia Perrone, Davide Zarcone, Alberto Zoli, Ettore Beghi, Elio Agostoni, Daniele Porazzi, Mario Landriscina

Research output: Contribution to journalArticle

Abstract

Stroke is the leading cause of disability in adulthood, and the principal aim of care in cerebrovascular disease is the reduction of this negative outcome and mortality. Several studies demonstrated the efficacy of thrombolytic therapy in ischemic stroke, but up to 80% of cases could not be treated because the diagnostic workup exceeds the time limit. In this article, we described the design of a study conducted in the northern Lombardy, within the district of Sondrio, Lecco, Como, and Varese. The awaited results of this study are reduction of avoidable delay, organization of an operative stroke emergency network, and identification of highly specialized structures. The study schedules education and data registration with implementation and training of acute stroke management algorithms. The use of standardized protocols during prehospital and in-hospital phase can optimize acute stroke pathways. The results of this study could contribute to the assessment of an effective and homogeneous health system to manage acute stroke.

Original languageEnglish
Pages (from-to)527-533
Number of pages7
JournalInternational Journal of Stroke
Volume7
Issue number6
DOIs
Publication statusPublished - Aug 2012

Keywords

  • Emergency
  • Management
  • Network
  • Stroke

ASJC Scopus subject areas

  • Neurology

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    Vidale, S., Verrengia, E., Gerardi, F., Arnaboldi, M., Bezzi, G., Bono, G., Guidotti, M., Grampa, G., Perrone, P., Zarcone, D., Zoli, A., Beghi, E., Agostoni, E., Porazzi, D., & Landriscina, M. (2012). Stroke management in northern Lombardy: Organization of an emergency-urgency network and development of a connection between prehospital and in-hospital settings. International Journal of Stroke, 7(6), 527-533. https://doi.org/10.1111/j.1747-4949.2012.00792.x