دورية أكاديمية
Incidence and Case Fatality of Aneurysmal Subarachnoid Hemorrhage Admitted to Hospital Between 2008 and 2014 in Norway
| العنوان: | Incidence and Case Fatality of Aneurysmal Subarachnoid Hemorrhage Admitted to Hospital Between 2008 and 2014 in Norway |
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| المؤلفون: | Øie, Lise Rystad, Solheim, Ole, Majewska, Paulina Luiza, Nordseth, Trond, Müller, Tomm Brostrup, Carlsen, Sven Magnus, Jensberg, Heidi, Salvesen, Øyvind, Gulati, Sasha |
| المصدر: | Acta Neurochirurgica |
| بيانات النشر: | Springer |
| سنة النشر: | 2020 |
| المجموعة: | NTNU Open Archive (Norges teknisk-naturvitenskapelige universitet / Norwegian University of Science and Technology) |
| الوصف: | Background To provide age- and sex-specific incidence and case fatality rates for non-traumatic aneurysmal subarachnoid hemorrhage (aSAH) in Norway. We also studied time trends in incidence and case fatality, as well as predictors of death following aSAH. Methods A nationwide study using discharge data for patients admitted with aSAH between 2008 and 2014. Results A total of 1732 patients with aSAH were included. The mean age was 60 years (SD 14) and 63% were females. Crude annual incidence was 5.7 per 100,000 person-years (95% CI 5.4–6.0) and was higher in females (6.3 per 100,000, 95% CI 5.9–6.7) compared with males (4.9 per 100,000, 95% CI 4.5–5.3). The annual decline in aSAH incidence was 3.2% per year (p = 0.007). The cumulative proportions of fatalities at days 30, 90, and 1 year were 22%, 25%, and 37%, respectively. The 30-day mortality rate did not change during the study period. Age (HR 0.7–2.2) and aneurysms in the posterior circulation (HR 1.7, 95% CI 1.3–2.3, p = 0.001) were associated with higher 30-day case fatality following aSAH, while aneurysm repair (HR 0.2, 95% CI 0.2–0.3, p < 0.001) was associated with lower risk. Conclusions The incidence of aSAH declined in Norway between 2008 and 2014. Case fatality following aSAH continues to be high, and the 30-day mortality during the study period was unchanged. Increasing age and aneurysms in the posterior circulation were associated with increased risk of death within 30 days following aSAH. ; publishedVersion |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0001-6268 |
| العلاقة: | urn:issn:0001-6268; https://hdl.handle.net/11250/2740033Test; https://doi.org/10.1007/s00701-020-04463-xTest; cristin:1817909 |
| DOI: | 10.1007/s00701-020-04463-x |
| الإتاحة: | https://doi.org/10.1007/s00701-020-04463-xTest https://hdl.handle.net/11250/2740033Test |
| حقوق: | Navngivelse 4.0 Internasjonal ; http://creativecommons.org/licenses/by/4.0/deed.noTest |
| رقم الانضمام: | edsbas.710975F1 |
| قاعدة البيانات: | BASE |
| تدمد: | 00016268 |
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| DOI: | 10.1007/s00701-020-04463-x |