Stefania Spila Alegiani

ORCID: 0000-0003-0656-1346
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About
Contact & Profiles
Research Areas
  • SARS-CoV-2 and COVID-19 Research
  • Vaccine Coverage and Hesitancy
  • Diabetes Treatment and Management
  • Renal Transplantation Outcomes and Treatments
  • Pharmaceutical Practices and Patient Outcomes
  • Parkinson's Disease Mechanisms and Treatments
  • COVID-19 Clinical Research Studies
  • Influenza Virus Research Studies
  • Diabetes, Cardiovascular Risks, and Lipoproteins
  • Neurological Disorders and Treatments
  • Schizophrenia research and treatment
  • Organ Transplantation Techniques and Outcomes
  • Pharmaceutical studies and practices
  • Blood Pressure and Hypertension Studies
  • Neurological disorders and treatments
  • Antibiotic Use and Resistance
  • Long-Term Effects of COVID-19
  • Biosimilars and Bioanalytical Methods
  • Pregnancy and Medication Impact
  • Alzheimer's disease research and treatments
  • Heparin-Induced Thrombocytopenia and Thrombosis
  • Pneumonia and Respiratory Infections
  • Transplantation: Methods and Outcomes
  • Dementia and Cognitive Impairment Research
  • Amyotrophic Lateral Sclerosis Research

Istituto Superiore di Sanità
2010-2024

National Centre for Disease Prevention and Control
2014-2024

National Institutes of Health
2009-2015

Azienda Ospedaliero-Universitaria Careggi
2007-2008

University of Florence
2007-2008

University of Pisa
2007

Federico II University Hospital
2007

University of Padua
2007

Azienda Unita' Sanitaria Locale Di Modena
1999

Alleanza Contro il Cancro
1999

Cardiovascular disease (CVD) is the main cause of morbidity/mortality in diabetes. We set forth to determine incidence and identify predictors (including microvascular complications treatment) first coronary heart (CHD) event CVD-free type 2 diabetic patients.A cohort 6,032 women 5,612 men, sampled from a nationwide network hospital-based diabetes clinics, was followed up for 4 years. Baseline assessment included retinopathy, nephropathy, foot ulcers. First CHD events (myocardial infarction,...

10.2337/dc06-2558 article EN Diabetes Care 2007-04-27
Francesco Menichetti Patrizia Popoli Maria Puopolo Stefania Spila Alegiani Giusy Tiseo and 95 more Alessandro Bartoloni Giuseppe Vittorio De Socio Sauro Luchi Pierluigi Blanc Massimo Puoti Elena Toschi Marco Massari Lucia Palmisano Giuseppe Marano Margherita Chiamenti Laura Martinelli Silvia Franchi Carlo Pallotto L Suardi Barbara Luciani Pasqua Marco Merli Plinio Fabiani Luca Bertolucci Beatrice Borchi Sara Modica Sara Moneta Giulia Marchetti Antonella d’Arminio Monforte Laura Stoppini Nadia Ferracchiato Stefania Piconi Claudio Fabbri Enrico Beccastrini Riccardo Saccardi Andrea Giacometti Sara Esperti Piera Pierotti Laura Bernini Cláudia Bianco Sara Benedetti Alessandra Lanzi Paolo Bonfanti Marco Massari Spartaco Sani Annalisa Saracino Antonella Castagna Luigia Trabace Maria Lanza Daniele Focosi Alessandro Mazzoni Mauro Pistello Marco Falcone Roberto Palazzolo Salvatore Casari Alessandro Occhionero Tiziana Grazzini Dina Leonarda Silvestri Mariacarla Iorio Andrea Tosti Daniela Francisci Cecilia Becattini Matteo Pirro Mauro Marchesi Sabrina Bastianelli Sara Pierucci Chiara Busti Antonella Mencacci Silvia Bozza Barbara Camilloni Valentina Annoni Chiara Bellotto A Cioppi Giorgia Querci Giacomo Ciusa Michela Tassara Anna Danise Silvia Chigiotti Giovanna Morelli Micaela Meini Valentina Galfo Simone Ferranti Enrico Tagliaferri Riccardo Iapoce Chiara Barbieri Arianna Forniti Claudio Caroselli Stefano Verdenelli Fabio Monzani Paola Mazzetti Giovanna Moscato Francesco Barchiesi Mauro Andreotti Fausto Baldanti Andrea Binelli Maria Rosaria Capobianchi Roberto Da Daniela Di Sevo Paola Fazi Cinzia Gasparrini Ilaria Ippoliti

<h3>Importance</h3> Convalescent plasma (CP) has been generally unsuccessful in preventing worsening of respiratory failure or death hospitalized patients with COVID-19 pneumonia. <h3>Objective</h3> To evaluate the efficacy CP plus standard therapy (ST) vs ST alone <h3>Design, Setting, and Participants</h3> This prospective, open-label, randomized clinical trial enrolled (1:1 ratio) pneumonia to receive between July 15 December 8, 2020, at 27 sites Italy. Hospitalized adults a partial...

10.1001/jamanetworkopen.2021.36246 article EN cc-by-nc-nd JAMA Network Open 2021-11-29

Background Myocarditis and pericarditis following the Coronavirus Disease 2019 (COVID-19) mRNA vaccines administration have been reported, but their frequency is still uncertain in younger population. This study investigated association between Severe Acute Respiratory Syndrome 2 (SARS-CoV-2) vaccines, BNT162b2, mRNA-1273 myocarditis/pericarditis population of vaccinated persons aged 12 to 39 years Italy. Methods findings We conducted a self-controlled case series (SCCS) using national data...

10.1371/journal.pmed.1004056 article EN cc-by PLoS Medicine 2022-07-28

Type 2 diabetes mellitus is a strong predictor of cerebrovascular disease, yet few studies have assessed the incidence stroke and role other risk factors in unselected type populations.We prospectively followed-up 14,432 patients, aged 40 to 97 years, with without history cardiovascular disease at enrollment, we estimated hazards ratios respect clinical variables.During 4-year follow-up, 296 incident events were recorded. In persons no age-standardized (per 1000 person-years) was 5.5 (95%...

10.1161/01.str.0000260100.71665.2f article EN Stroke 2007-03-02

Introduction: COVID-19 case fatality rate in hospitalized patients varies across countries and studies. Reliable estimates, specific for age, sex, comorbidities, are needed to monitor the epidemic, compare outcome different settings, correctly design trials interventions. The aim of this study was provide population-based survival curves patients. Materials Methods: A cohort conducted three areas Northern Italy, heavily affected by SARS-CoV-2 infection (Lombardy Veneto Regions, Reggio Emilia...

10.2147/clep.s271763 article EN cc-by-nc Clinical Epidemiology 2020-12-01

The epidemic due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been spreading globally, raising increasing concerns. There are several controversial hypotheses on the potentially harmful or beneficial effects of antihypertensive drugs acting renin–angiotensin–aldosterone system (RAAS) in disease 2019 (COVID-19). Furthermore, there is accumulating evidence, based observational studies, that angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin...

10.1007/s40264-020-00994-5 article EN other-oa Drug Safety 2020-08-27

Although the etiologic relation between nonsteroidal antiinflammatory drug (NSAID) use and gastrointestinal lesions is well documented, newly introduced NSAIDs deserve a fresh examination for their risk/benefit ratio. To estimate association consumption of ketorolac occurrence gastroduodenal lesions, we conducted case-control study. The study population comprised 600 outpatients with confirmed endoscopic diagnosis ulcer erosion in 1991 1992 6,000 community controls matched by age sex. We...

10.1097/00001648-199501000-00010 article EN Epidemiology 1995-01-01

OBJECTIVE—The purpose of this study was to assess incidence and risk factors for recurrent cardiovascular disease (CVD) in type 2 diabetes. RESEARCH DESIGN AND METHODS—We estimated the events diabetic patients, aged 40–97 years, followed by a network diabetes clinics. The analysis conducted separately 2,788 patients with CVD at enrollment (cohort A) 844 developing first episode during observation period B). RESULTS—During 4 years follow-up, cohort A age-adjusted event (per 1,000...

10.2337/dc08-1013 article EN cc-by-nc-nd Diabetes Care 2008-09-10

To assess the risk of maternal, fetal, and neonatal outcomes associated with administration an MF59 adjuvanted A/H1N1 vaccine during pregnancy.Historical cohort study.Singleton pregnancies resident population Lombardy region Italy.All deliveries between 1 October 2009 30 September 2010. Data on exposure to pandemic vaccine, pregnancy, birth were retrieved from regional databases. Vaccinated non-vaccinated women compared in a propensity score matched analysis estimate risks adverse...

10.1136/bmj.g3361 article EN cc-by-nc BMJ 2014-05-29

To assess the real-world impact of vaccines on COVID-19 related outcomes, we analysed data from over 7 million recipients at least one vaccine dose in Italy. Taking 0–14 days post-first as reference, SARS-CoV-2 infection risk subsequently decreased, reaching a reduction by 78% (incidence rate ratios (IRR): 0.22; 95% CI: 0.21–0.24) 43–49 dose. Similarly, hospitalisation and death risks with 89% (IRR: 0.11; 0.09–0.15) 93% 0.07; 0.04–0.11) reductions 36–42 Our results support ongoing...

10.2807/1560-7917.es.2021.26.25.2100507 article EN cc-by Eurosurveillance 2021-06-24
Gianluca Trifirò Valentina Isgrò Ylenia Ingrasciotta Valentina Ientile Luca L’Abbate and 95 more Saveria Serena Foti Valeria Belleudi Francesca Romana Poggi Andrea Fontana Ugo Moretti Riccardo Lora Alberto Sabaini Ilenia Senesi Carla Sorrentino Maria R. Puzo Angela Padula Mariano Fusco Roberta Giordana Valentina Solfrini Aurora Puccini Paola Rossi Stefania Del Zotto Olivia Leoni Martina Zanforlini Domenica Ancona Vito Bavaro Donatella Garau Stefano Ledda Salvatore Scondotto Alessandra Allotta Marco Tuccori Rosa Gini Giampaolo Bucaneve David Franchini Anna Cavazzana Valeria Biasi Stefania Spila Alegiani Marco Massari Gianluca Trifirò Ugo Moretti Riccardo Lora Alberto Sabaini Valentina Isgrò Ylenia Ingrasciotta Valentina Ientile Luca L’Abbate Saveria Serena Foti Stefania Spila Alegiani Valeria Belleudi Francesca Romana Poggi Andrea Fontana Marco Massari Ilaria Andretta Matilde Tanaglia Ilenia Senesi Carla Sorrentino Maria Rosalia Puzo Angela Padula Antonio Carriero S. Sassano Caterina De Sarro Simona Mirarchi Caterina Palleria Caterina De Sarro Mariano Fusco Roberta Giordana Marianna Balestrieri Stefania Rostan Annalisa Capuano Francesca Futura Bernardi Ugo Trama Alessandro Russo Maria Grazia Fumo Valeria Belleudi Francesca Romana Poggi Antonio Addis Felice Musicco Valentina Solfrini Ester Sapigni Aurora Puccini Ilaria Mazzetti Debora Podetti Anna Maria Potenza Victoria Nikitina Rita Ricciardelli Nazanin Mogheiseh Silvia Croce Paola Rossi A. Pettinelli Stefania Del Zotto Lucian Ejlli Olivia Leoni Ida Fortino Michele Ercolanoni Arianna Mazzone Andrea Angelo Nisic Simone Schiatti Monica Ludergnani Martina Zanforlini Mauro Mancini

Biological drugs have improved the management of immune-mediated inflammatory diseases (IMIDs) despite being associated with important safety issues such as immunogenicity, infections, and malignancies in real-world settings.The aim this study was to explore potential a large Italian multi-database distributed network for use postmarketing surveillance biological drugs, including biosimilars, patients IMID.A retrospective cohort conducted using 13 regional claims databases during 2010-2019....

10.1007/s40259-021-00498-3 article EN cc-by-nc BioDrugs 2021-10-12

Background Recently published studies have reported association of COVID-19 vaccine ChAdOx1-S (Vaxzevria) with Guillain Barré Syndrome (GBS). Less is known about the safety other vaccines respect to GBS outcome. This study investigated in more than 15 million persons aged ≥12 years Italy. Methods Study population was all individuals who received at least one dose vaccines, admitted emergency care/hospital for from 27 December 2020–30 September 2021 Identification cases and receipt mRNA-1273...

10.1371/journal.pone.0290879 article EN cc-by PLoS ONE 2024-01-19

The goal of post-transplant immunosuppressive drug therapy is to prevent organ rejection while minimizing toxicities. In clinical practice, a multidrug approach commonly used and involves drugs with different mechanisms action, including calcineurin inhibitors (CNI) (tacrolimus or cyclosporine), antimetabolite (antimet) (mycophenolate azathioprine), mechanistic target rapamycin (mTOR) (sirolimus everolimus), and/or steroids. Although evidence based on several randomized trials available, the...

10.3389/fphar.2022.959267 article EN cc-by Frontiers in Pharmacology 2022-09-15

<b><i>Article abstract</i></b> Cancer mortality in a population-based cohort of 10,322 parkinsonian patients (448 deaths observed during 1987 to 1994) was compared with that the Italian province Rome using standardized ratio (SMR). The overall cancer risk lower this than reference population (SMR, 56; 95% CI, 51 61). This reduction included most sites as well both smoking-related 51; 42 60) and nonsmoking-related cancers 58; 52 65). cannot be explained entirely by hypothesis smokers are less...

10.1212/wnl.52.2.395 article EN Neurology 1999-01-01

The objective of the study was to estimate prevalence parkinsonism in Province Rome using antiparkinsonian prescription histories from 1986 1991.A subject defined as a case if he/she had received "specific" and "consistent" therapy period.In November 1990, 6,572 patients were prevalent cases parkinsonism. crude ratio, for total population Rome, is 173.5 per 100,000 inhabitants (165.9 men 180.5 women). method validated by record-linkage with clinical records all visited during 1990 at...

10.1111/j.1600-0404.1995.tb00465.x article EN Acta Neurologica Scandinavica 2009-01-29

Maintenance immunosuppressive therapy used in kidney transplantation typically involves calcineurin inhibitors, such as tacrolimus or cyclosporine, combination with mycophenolate mechanistic target of rapamycin (mTORi) without corticosteroids. An Italian retrospective multicentre observational study was conducted to investigate the risk-benefit profile different regimens. We identified all subjects who underwent transplant between 2009 and 2019, using healthcare claims data. Patients on...

10.1371/journal.pone.0295205 article EN cc-by PLoS ONE 2024-01-02

Cases of appendicitis were identified in the pivotal randomized clinical trial on BNT162b2 mRNA vaccine and reported from coronavirus disease 2019 (COVID-19) pharmacovigilance systems. Three cohort studies two self-controlled case series (SCCS) evaluating association between vaccines discordant results. To address this uncertainty, present study examines a large population, with SCCS design, (BNT162b2 mRNA-1273) and, for first time, viral vector (ChAdOx1-S Ad26.COV2-S) COVID-19 acute appendicitis.

10.1007/s40264-024-01462-0 article EN cc-by-nc Drug Safety 2024-07-27

Cervical cancer screening is uncommon, especially in low-income countries and among lower socioeconomic status people high-income countries. The aims of this study were to examine the adherence Sicilian women Pap testing identify determinants a population with secondary prevention attitude than national average. A cross-sectional called "Save Eva Sicily" was conducted all aged 25⁻64 years, sample drawn by list general practitioners (GPs), using proportional sampling scheme, stratified age...

10.3390/ijerph15091804 article EN International Journal of Environmental Research and Public Health 2018-08-22
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