Trends of Spontaneous Intracerebral Hemorrhage in Florence District Along Fifteen Years: A Brief Report
Clinical Neurology and Neuroscience
Volume 1, Issue 1, February 2017, Pages: 1-4
Received: Jan. 13, 2017;
Accepted: Jan. 25, 2017;
Published: Feb. 21, 2017
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Luca Masotti, Internal Medicine, Santa Maria Nuova Hospital, Florence, Italy
Federico Moroni, Internal Medicine, Santa Maria Nuova Hospital, Florence, Italy
Vieri Vannucchi, Internal Medicine, Santa Maria Nuova Hospital, Florence, Italy
Guido Grossi, Internal Medicine, Santa Maria Nuova Hospital, Florence, Italy
Giancarlo Landini, Internal Medicine, Santa Maria Nuova Hospital, Florence, Italy
Filippo Cellai, Department of Informatic and Health Tecnologies, ESTAR, Tuscany, Italy
Stefano Spolveri, Internal Medicine, Borgo San Lorenzo Hospital, Florence, Italy
Mauro Pratesi, Emergency Department, Santa Maria Nuova Hospital, Florence, Italy
Anna Poggesi, Neuroscience Section, NEUROFARBA Department, University of Florence, Florence, Italy
Domenico Inzitari, Neuroscience Section, NEUROFARBA Department, University of Florence, Florence, Italy
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Spontaneous intracerebral hemorrhage (ICH) represents the most feared stroke subtype. Real world epidemiological data about trends in incident cases and in-hospital mortality lack. Therefore we performed this study aimed to answer this concern. International Classification of Diseases, 9th revision, Clinical Modification (ICD-9th CM) database referred to patients discharged from six Hospitals of Florence district, Tuscany, Italy in a period fifteen years long (2001-2015)was analyzed. We searched for code 431 as primary or secondary diagnosis at hospital discharge. Overall, 7452 patients were discharged with ICH as primary or secondary diagnosis. Of them, 3695 (49.5%) were females and 4363 (59.1%) were 75-years old and over. Cases of ICH increased from 461 in 2001 to 568 in 2015. The greatest increase was observed in patients 75 years old and over (216 cases in 2001, 339 cases in 2015). Overall, 2273 patients died during hospital stay, in-hospital mortality being 30.5%. In-hospital mortality increased according to age, being 18% in under 65 years and 35.9% in 75-years old and over. In-hospital mortality decreased from 30.8% in 2001 to 25.1% in 2015. The decrease in in-hospital mortality was observed irrespective of age. In Florence district, cases of ICH increased over the years, especially in very old people, whereas in-hospital mortality decreased irrespective of age.
Intracerebral Hemorrhage, Epidemiology, Mortality, Elderly
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Trends of Spontaneous Intracerebral Hemorrhage in Florence District Along Fifteen Years: A Brief Report, Clinical Neurology and Neuroscience.
Vol. 1, No. 1,
2017, pp. 1-4.
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