دورية أكاديمية
Risk Factors for Cerebral Aneurysm Rupture in Mongolia
| العنوان: | Risk Factors for Cerebral Aneurysm Rupture in Mongolia |
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| المؤلفون: | Bechstein, Matthias, Gansukh, Amarjargal, Regzengombo, Boldbat, Byambajav, Oyun, Meyer, Lukas, Schönfeld, Michael, Kniep, Helge, Hanning, Uta, Broocks, Gabriel, Gansukh, Tserenchunt, Fiehler, Jens |
| المصدر: | http://lobid.org/resources/99370677150706441Test#!, 32(2):499-506. |
| سنة النشر: | 2021 |
| المجموعة: | Publisso (ZB MED-Publikationsportal Lebenswissenschaften) |
| مصطلحات موضوعية: | Female [MeSH], Cerebral Angiography [MeSH], Intracranial Aneurysm/epidemiology [MeSH], Humans [MeSH], Incidence studies, Subarachnoid Hemorrhage/epidemiology [MeSH], Intracranial Aneurysm/complications [MeSH], Retrospective Studies [MeSH], Subarachnoid Hemorrhage/complications [MeSH], Risk Factors [MeSH], Stroke/complications [MeSH], Aneurysm, Ruptured/diagnostic imaging [MeSH], Underserved populations, Hypertension/complications [MeSH], Intracranial Aneurysm/diagnostic imaging [MeSH], Subarachnoid Hemorrhage/diagnostic imaging [MeSH], Original Article, Male [MeSH], Intracranial aneurysm, Mongolia/epidemiology [MeSH], Ruptured/complications [MeSH], Ruptured/epidemiology [MeSH], Subarachnoid hemorrhage, Risk factors in epidemiology |
| الوصف: | Purpose!#!Identification of country-specific demographic, medical, lifestyle, and geoenvironmental risk factors for cerebral aneurysm rupture in the developing Asian country of Mongolia. First-time estimation of the crude national incidence of aneurysmal subarachnoid hemorrhage (aSAH).!##!Methods!#!A retrospective analysis of all intracranial digital subtraction angiographies (DSA) acquired in Mongolia during the 2‑year period 2016-2017 (1714 examinations) was performed. During this period, DSA was used as primary diagnostic imaging modality for acute severe neurological symptoms in the sole hospital nationwide dedicated to neurological patients. The catchment area of the hospital included the whole country. Patients with incidental and ruptured aneurysms were reviewed with respect to their medical history and living conditions. The data was used to install a Mongolian aneurysm registry.!##!Results!#!The estimated annual crude incidence of cerebral aneurysm rupture was 6.71 for the country of Mongolia and 14.53 per 100,000 persons for the capital region of Ulaanbaatar. Risk factors common in developed countries also applied for the Mongolian population: A medical history of hypertension, smoking or the presence of multiple aneurysms led to a higher relative risk of rupture. In contrast, female gender was not associated with a higher risk in this national cohort. Males pursuing a traditional nomadic living may exhibit a specifically high risk of rupture.!##!Conclusion!#!Disease management of over 200 individuals/year with aSAH constitutes a socioeconomic burden in Mongolia. Efforts to raise awareness of the risk factors hypertension and smoking among the Mongolian population are desirable. Measures to improve the nationwide availability of modern neurovascular treatment options are currently under consideration. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| ردمك: | 978-9937-0-6771-3 9937-0-6771-5 |
| العلاقة: | https://repository.publisso.de/resource/frl:6452182Test; https://doi.org/10.1007/s00062-021-01051-zTest; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187534Test/ |
| DOI: | 10.1007/s00062-021-01051-z |
| الإتاحة: | https://doi.org/10.1007/s00062-021-01051-zTest https://repository.publisso.de/resource/frl:6452182Test https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187534Test/ |
| حقوق: | https://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: | edsbas.FE3D2309 |
| قاعدة البيانات: | BASE |
| ردمك: | 9789937067713 9937067715 |
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| DOI: | 10.1007/s00062-021-01051-z |