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Proceedings SNO “LXII Congresso Nazionale SNO”
VENERDÌ, 29 SETTEMBRE

Abstract E-POSTER:
I SESSIONE

Stroke Unit/Neurocritical Care (2a) Department
in the USL Toscana Centro:
the setting of “S. Stefano” Hospital in Prato

R. VALENTI, A. CARUSO, A. E. SCOTTO DI LUZIO, E. GRASSI, G. CHITI,
M.G. CAGLIARELLI, S. PRADELLA, Y. FAILLI, F. TERENZI, C. DEL GAMBA,
M. GIANNINI, L. KIFERLE, D. ACCAVONE, M. BRICCOLI, F. MASSARO,
P. PIERSANTI, M. FALCINI, G. AVINO, G. GALANTUCCI, V. MELANI, C. RAGO, P. PALUMBO

SOC di Neurologia, Neurofisiopatologia - Stroke Unit, Ospedale “S. Stefano”, Prato

❒ ❒ BACKGROUND. The concept of Stroke Unit (SU) care has ragic stroke, traumatic brain injury, subdural hematoma, etc.
been discussed for over 50 years, but it is only in the last ❒ ❒ RESULTS. According to the international criteria, out of
25 years that clear evidence of its effectiveness has 249 patients affected by acute cerebrovascular diseases and
emerged to inform these discussions. Stroke-unit ward acute neurological disorders, 100 were diagnosed as is-
with dedicated beds and staff within 48 hours of onset chemic stroke, 31 as haemorrhagic stroke. Out of 100, 36
should be recommended for all patients with acute stroke. were treated with recombinant-Tissue Plasminogen Acti-
The Stroke Unit/Neurocritical Care (2a) Department deliv- vator: r-TPA (2 of these had concomitant diagnosis of
ers high quality care and treatment in patients affected by COVID), 12 underwent to intrarterious treatment in Hub
strokes and other neurological acute disease. center of USL Toscana Centro (AOU Careggi) (7 were pri-
In Italy stroke is the second leading cause of death and the mary endovascular treatment). Out of 36 patients underwent
first of disability in adult people. There is significant evi- to thrombolysis, 23 were notified directly to DEA from 118.
dence in literature indicating the better quality assistance One stroke was in the hospital. The 3-month mRS (modified
SU provide in the treatment of neurological acute disease, Rankin Scale) in these stroke patients were 0-2 in 70% of
with significant improvements in mortality and disability, cases treated with r-TPA. Besides to main classical causes
when the therapeutic intervention (thrombolysis) is early of stoke (cardioembolic, atherosclerotic and lacunar), out
carried out. The Stroke Unit Department of Prato in the 249 patients 1 has diagnosis of MELAS (Mitochondrial en-
USL Toscana Centro includes 12 beds; 8 beds are moni- cephalomyopathy, lactic acidosis, and stroke-like episodes),
tored by portable multi-parameter monitoring devices. In 1 patient of venous thrombosis of central nervous system.
the SU/Neurocritical Care (2a) Department, following Out of 31 haemorragic stroke, 40% were atypical. Five pa-
acute treatment, diagnostic/etiologic work-up and auto- tients had subarachnoid haemorrhage. The remain part of
mated monitoring of vital functions are performed as well patients were subdural post-traumatic haematoma.
as adapted secondary prevention. Another important thera- ❒ ❒ CONCLUSIONS. Our Neurology Department for Acute
peutic goal includes early rehabilitation. Patients is one of the largest in Tuscany. We believe that
❒ ❒ AIM. We retrospectively assessed the agreement between our reality can be a model not only for ischemic strokes ad-
the two Hospital discharge forms SDO (Scheda di Dimis- mitted to the common stroke unit, but also as an acute neu-
sione Ospedaliera)’ diagnoses in DEA (Dipartimento di E- rological department for all acute neurological pathologies.
mergenza Urgenza e Accettazione) and in Stroke Unit (2a) in Much more research is needed to understand the potential
249 patients consecutively enrolled between 1st January benefit of common interventions such as physiological
2022 and 30th June 2022. We consider the diagnosis of these monitoring, early mobilization strategies, routine dyspha-
main neurological acute diseases: ischemic stroke, hemor- gia management, and rehabilitation at the transition home.

Corrispondenza: Dr.ssa Raffaella Valenti, SOC di Neurologia, Ospedale S. Stefano, via Suor Niccolina Infermiera 20/22, 59100
Prato (PO), e-mail: raffaella.valenti@uslcentro.toscana.it
LXII Congresso Nazionale SNO, 27-30 settembre 2023, Firenze.
Atti a cura di Pasquale Palumbo e Bruno Zanotti.
Copyright © 2023 by new Magazine edizioni s.r.l., Trento, Italia. www.newmagazine.it ISBN: 978-88-8041-138-3

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