Time-Dependent Therapies, Excellence and Number of Business Network – Chronicle

Arezzo, October 28, 2018 – Tomorrow, Monday October 29th, will be held the World Day of Stroke, an acute illness resulting from an occlusion (ischemic stroke) or a rupture (hemorrhagic stroke) of an artery brain. It is a very common pathology that, in Western countries, constitutes the second leading cause of death and the leading cause of disability in the elderly; in Italy, there are about 200,000 cases each year, of which about 10,000 in Tuscany. 20% of patients die, while 30% survive with permanent disability.

Asl Toscana South East has set up the company network, led by Giovanni Linoli. The objectives of the network are the dissemination of homogeneous standards of clinical badistance throughout the company, the continuity of badistance and the organization of all phases of badistance. network (emergency-emergency phase, hospital phase and territorial phase). The network organization provides clinical and organizational referents in each of the eight hospital hospitals, as well as in the Policlinico of the Azienda Ospedaliero-Universitaria Senese. To date, in the organizational actions of the network, the departments of Emergency-Emergency Cardio Neuro Vascolare, those of the Nurse-Obstetric Professions, General Medicine, Rehabilitation, Diagnostic Imaging and Techno-Health.

"Within the Vasta South East zone, a time-dependent network has also been set up, governed by an operational protocol shared by ASL and AOU Senese, which proposes innovative therapies reserved for cases of ischemic stroke – Linoli explains – It's about fibrinolysis intravenous and mechanical thrombectomy, capable of reducing mortality and residual disability, provided that they are performed within a defined period of time (in the 4, 5 hours after the onset of symptoms of fibrinolysis, within 12 hours for thrombectomy.) There are four accredited structures for intravenous fibrinolysis in the Vasta South East zone: the hospital garrison of Arezzo, Valdarno, Grosseto and Siena: For the mechanical thrombectomy in which patients suffering from a stroke following a large vessel occlusion are candidates, the unique reference for the whole of the south-east of the vast region is the polyclinic Le Scotte di Siena, in connection with its interventional neuroradiological endowments ".

In 2017, a total of 288 patients from the Vasta South East Zone were subjected to time-dependent therapies. Cases relating to the first half of 2018 already indicate a numerical increase in these treatments compared to the previous year.

In the acute phase, stroke patients are hospitalized in different care settings (Stroke Unit, Internal Medicine and Geriatric Services). "The acute phase is followed by a path of continuity of care that continues in rehabilitation and, after leaving the hospital, supported by general practitioners – concludes Linoli – They are the ones who, in the phase territorial, guarantee the prevention followed and indication of correct lifestyles ".

Asl Tuscany South East shares with the volunteer badociation ALICe (Association for Combating Brain Infection) health education programs designed to promote the rapid recognition of symptoms of onset of illness. a stroke, and to immediately recommend the call. 118 to provide patients with rapid access to the corporate services network.