Long-term survival and outcome after first stroke in the Sicilian Aeolian Island Archipelago population

Paolino La Spina, Rodolfo Savica, Salvatore Serra, Rocco Salvatore Calabrò, Paolo Postorino, Letterio Morgante, Giovanni Savettieri, Rosa Musolino

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Background: Only a restricted number of population studies based on long-term prognosis after a stroke have been published. We analyzed long-term survival and outcome in insular first-ever stroke population from the Aeolian Archipelago. Subjects and methods: From 1 July, 1999 to 30 June 2002, 62 patients with first-ever stroke were recruited to evaluate short-term incidence and outcome. Information for every patient was collected by phone interviews after 3 months, 1 year, and 4 years. Results: 30 days case fatality rate was 24.2% (95% C.I. 14.22 to 36.75). Fifty-one percent (95% C.I. 35.8 to 66.3) of patients died before last survey and 39.1% died during the first year of follow-up. Annual approximate death risk amounted to about 10%. Results: The cerebrovascular causes were the most frequent causes of death (65.2%). A high level of invalidity at 4 years was present in many survivors (40%). Results: None of the deceased had followed physio-kinesitherapy, or applied for equipment or services. Conclusion: More attentive medical care for stroke patients could help improve outcome, reducing mortality for patients from the Aeolian island, who already showed a low incidence.

Original languageEnglish (US)
Pages (from-to)153-156
Number of pages4
JournalNeurological Sciences
Issue number3
StatePublished - Jun 1 2008

ASJC Scopus subject areas

  • Dermatology
  • Clinical Neurology
  • Psychiatry and Mental health


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