And the very high social costs: about a third of patients die within the first year, while another third undergoes a invalidità permanent, so that the stroke is on the first place among the causes of invalidità in our Country.
A framework of dark, the one traced by the experts gathered yesterday in Milan to present the fifth edition of the Italian guidelines on stroke. But not without positive notes.
“The best management of stroke is giving results – stresses, Gian Franco Gensini, Professor of medical Clinic and cardiology of Careggi hospital, Florence, president of theItalian Stroke Forum Network, and the coordinator of the guidelines ‘Spreads’ – so much so that in 10 years decreased by 10 per cent of the deaths and a similar number of patients exceeds the stroke with less disabilityà residual”.
it Remains toò a lot to do, “particularly on prevention and the optimal organization of care paths – adds the expert – In particular, è necessary to strengthen the Stroke unit, facilities to be dedicated to this pathology, still insufficient in Italy”.
But how is it manifested a stroke? “It is a neurological deficit of sudden, occurs when a blood vessel that feeds the brain ruptures or is blocked,” explains Augusto Zaninelli, deputy coordinator general of the guidelines and professor of the Università Florence – and in 75 percent of cases hits from 75 years”.
But there is no shortage of young people: in Italy it is estimated that about 12,000 cases a year, between the ‘under-45. “It is a disease very severe, which thankfully is becoming less fatal, thanks to early intervention – accurate Domenico Inzitari, director of the neurological Clinic III-Stroke Unit of Careggi – In the last few years, in fact, there are well-established modeà support and interventions for the acute phase, which limit considerably the mortalityà and the serious consequences of stroke.
The hospitalization in a Stroke unit, the areas dedicated to the diagnosis and treatment in the acute phase, can reduce the surgical mortalityà and the disabilità serious about the 20 percent.”
Page published 24 December 2007