Incidence and Outcome of Aneurysmal Subarachnoid Hemorrhage-Reference-Cited by-同舟云学术

Incidence and Outcome of Aneurysmal Subarachnoid Hemorrhage

Published:2021-01 Issue:1 Volume:52 Page:344-347
ISSN:0039-2499
Container-title:Stroke
language:en
Short-container-title:Stroke

Author:

Schatlo Bawarjan¹²³^ORCID,Fung Christian⁴⁵,Stienen Martin N.⁶,Fathi Ali R.⁷,Fandino Javier²^ORCID,Smoll Nicolas R.⁸^ORCID,Zumofen Daniel⁹,Daniel Roy Thomas¹⁰,Burkhardt Jan-Karl⁶,Bervini David⁴,Marbacher Serge²,Reinert Michael¹¹,D´Alonzo Donato²,Ahlborn Peter¹²,Mendes Pereira Vitor¹³,Roethlisberger Michel⁹,Seule Martin¹²,Kerkeni Hassen¹⁴,Remonda Luca¹⁵,Weyerbrock Astrid¹²,Woernle Kerstin²,Venier Alice¹¹,Perren Fabienne¹⁶,Sailer Martin⁹,Robert Thomas¹¹,Rohde Veit³,Schöni Daniel⁴,Goldberg Johannes⁴,Nevzati Edin¹⁷^ORCID,Diepers Michael¹⁵,Gralla Jan¹⁸,Z’Graggen Werner¹⁸^ORCID,Starnoni Daniele¹⁰,Woernle Christoph⁶,Maldaner Nicolai⁶,Kulcsar Zsolt¹⁹,Mostaguir Khaled²⁰,Maduri Rodolfo¹⁰,Eisenring Christian⁴^ORCID,Bernays René⁶,Ferrari Andrea¹²,Dan-Ura Hiroki²,Finkenstädt Sina⁶,Gasche Yvan²¹,Sarrafzadeh Asita¹,Jakob Stephan M.²²,Corniola Marco¹,Baumann Fabian¹⁷,Regli Luca⁶^ORCID,Levivier Marc¹⁰,Hildebrandt Gerhard¹²,Landolt Hans²,Mariani Luigi⁹,Guzman Raphael⁹,Beck Jürgen⁴⁵^ORCID,Raabe Andreas⁴,Keller Emanuela²³^ORCID,Bijlenga Philippe¹,Schaller Karl¹

Affiliation:

1. Neurosurgery (B.S., A.S., M.C., P.B., K.S.), University Hospital Geneva, Switzerland.

2. Neurosurgery (B.S., J.F., S.M., D.D., K.W., H.D.U., H.L.), Kantonsspital Aarau Switzerland.

3. Neurosurgery, University Hospital Göttingen Germany (B.S., V.R.).

4. Neurosurgery (C.F., D.B., D. Schöni, J. Goldberg, C.E., J.B., A.R.), University Hospital Bern Switzerland.

5. Department of Neurosurgery, Faculty of Medicine, Medical Center, University of Freiburg, Germany (J.B., C.F.).

6. Neurosurgery (M.N.S., J.-K.B., C.W., N.M., R.B., S.F., L.R.), University Hospital Zürich Switzerland.

7. Neurosurgery, Hirslanden Klinik Aarau Switzerland (A.R.F.).

8. School of Population and Global, University of Melbourne Australia (N.R.S.).

9. Neurosurgery, University Hospital Basel Switzerland (D.Z., M. Roethlisberger, M. Sailer, L.M., R.G.).

10. Neurosurgery, University Hospital Lausanne Switzerland (R.T.D., D. Starnoni, R.M., M.L.).

11. Neurosurgery, Ospedale Civico Lugano Switzerland (M. Reinert, A.V., T.R.).

12. Neurosurgery, Kantonsspital St. Gallen Switzerland (P.A., M. Seule, A.W., A.F., G.H.).

13. Neuroradiology, University of Toronto Canada (V.M.P.).

14. Neurology (H.K.), Kantonsspital Aarau Switzerland.

15. Neuroradiology (L.R., M.D.), Kantonsspital Aarau Switzerland.

16. Neurology (F.P.), University Hospital Geneva, Switzerland.

17. Neurosurgery, Kantonsspital Luzern Switzerland (E.N., F.B.).

18. Neuroradiology (J. Gralla, W.Z.), University Hospital Bern Switzerland.

19. Department of Neuroradiology, University Hospital Zürich, Switzerland (Z.K.).

20. Clinical Research Centre, (K.M.), University Hospital Geneva, Switzerland.

21. Intensive Care Medicine (Y.G.), University Hospital Geneva, Switzerland.

22. Intensive Care Medicine (S.M.J.), University Hospital Bern Switzerland.

23. Intensive Care Medicine (E.K.), University Hospital Zürich Switzerland.

Abstract

Background and Purpose: The purpose of this study was to assess nationwide incidence and outcomes of aneurysmal subarachnoid hemorrhage (aSAH). The Swiss SOS (Swiss Study on Subarachnoid Hemorrhage) was established in 2008 and offers the unique opportunity to provide this data from the point of care on a nationwide level. Methods: All patients with confirmed aneurysmal subarachnoid hemorrhage admitted between January 1, 2009 and December 31, 2014, within Switzerland were recorded in a prospective registry. Incidence rates were calculated based on time-matched population data. Admission parameters and outcomes at discharge and at 1 year were recorded. Results: We recorded data of 1787 consecutive patients. The incidence of aneurysmal subarachnoid hemorrhage in Switzerland was 3.7 per 100 000 persons/y. The number of female patients was 1170 (65.5%). With a follow-up rate of 91.3% at 1 year, 1042 patients (58.8%) led an independent life according to the modified Rankin Scale (0–2). About 1 in 10 patients survived in a dependent state (modified Rankin Scale, 3–5; n=185; 10.4%). Case fatality was 20.1% (n=356) at discharge and 22.1% (n=391) after 1 year. Conclusions: The current incidence of aneurysmal subarachnoid hemorrhage in Switzerland is lower than expected and an indication of a global trend toward decreasing admissions for ruptured intracranial aneurysms. Registration: URL: https://www.clinicaltrials.gov . Unique identifier: NCT03245866.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Neurology (clinical)

Reference11 articles.

1. Incidence of subarachnoid haemorrhage: a systematic review with emphasis on region, age, gender and time trends

2. Introducing a nationwide registry: the Swiss study on aneurysmal subarachnoid haemorrhage (Swiss SOS)

3. Home-Time as a Surrogate Marker for Functional Outcome After Aneurysmal Subarachnoid Hemorrhage

4. Predictors of In-Hospital Death After Aneurysmal Subarachnoid Hemorrhage

5. Worldwide Incidence of Aneurysmal Subarachnoid Hemorrhage According to Region, Time Period, Blood Pressure, and Smoking Prevalence in the Population

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