Incidence and Case Fatality of Subarachnoid Haemorrhage in Northern Greece: The Evros Registry of Subarachnoid Haemorrhage

Vadikolias, Kostantinos; Tsivgoulis, Georgios; Heliopoulos, Ioannis; Papaioakim, Miltiadis; Aggelopoulou, C.; Serdari, Aspasia; Birbilis, Theodosios; Piperidou, Charitomeni

doi:10.1111/j.1747-4949.2009.00334.x

Cited by 17 publications

(11 citation statements)

References 28 publications

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“…4 These data are consistent with studies that show that the incidence of aSAH increases with age, with a typical average age of onset in adults Ն50 years of age. 3,7,17,18 aSAH is relatively uncommon in children; incidence rates increase as children get older, with incidence ranging from 0.18 to 2.0 per 100 000. 4, 19 The majority of studies also indicate a higher incidence of aSAH in women than in men.…”

Section: Incidence and Prevalence Of Asahmentioning

confidence: 99%

“…60 Others have shown that case fatality rates decreased from 57% in the mid-1970s to 42% in the mid-1980s, 11 whereas rates from the mid-1980s to 2002 are reported to be anywhere from 26% to 36%. 6,12,13,18,20,61,62 Mortality rates vary widely across published epidemiological studies, ranging from 8% to 67%. 59 Regional variations become apparent when numbers from different studies are compared.…”

Section: Natural History and Outcome Of Asahmentioning

confidence: 99%

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Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage

Connolly¹,

Rabinstein²,

Carhuapoma³

et al. 2012

Stroke

2,883

1,375

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Purpose— The aim of this guideline is to present current and comprehensive recommendations for the diagnosis and treatment of aneurysmal subarachnoid hemorrhage (aSAH). Methods— A formal literature search of MEDLINE (November 1, 2006, through May 1, 2010) was performed. Data were synthesized with the use of evidence tables. Writing group members met by teleconference to discuss data-derived recommendations. The American Heart Association Stroke Council's Levels of Evidence grading algorithm was used to grade each recommendation. The guideline draft was reviewed by 7 expert peer reviewers and by the members of the Stroke Council Leadership and Manuscript Oversight Committees. It is intended that this guideline be fully updated every 3 years. Results— Evidence-based guidelines are presented for the care of patients presenting with aSAH. The focus of the guideline was subdivided into incidence, risk factors, prevention, natural history and outcome, diagnosis, prevention of rebleeding, surgical and endovascular repair of ruptured aneurysms, systems of care, anesthetic management during repair, management of vasospasm and delayed cerebral ischemia, management of hydrocephalus, management of seizures, and management of medical complications. Conclusions— aSAH is a serious medical condition in which outcome can be dramatically impacted by early, aggressive, expert care. The guidelines offer a framework for goal-directed treatment of the patient with aSAH.

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Section: Incidence and Prevalence Of Asahmentioning

confidence: 99%

Section: Natural History and Outcome Of Asahmentioning

confidence: 99%

Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage

Connolly¹,

Rabinstein²,

Carhuapoma³

et al. 2012

Stroke

2,883

1,375

View full text Add to dashboard Cite

show abstract

“…Nevertheless, research on stroke incidence, case fatality and distribution of stroke types in Greece is scarce. In this context, previous salient epidemiological data on stroke incidence stem from two prospective, population-based registers: one investigating ischemic and hemorrhagic stroke types, conducted over a decade ago [3] and more recently another study focusing on subarachnoid haemorrhage [4]. …”

Section: Introductionmentioning

confidence: 99%

The Incidence of the First-Ever Stroke in a Mediterranean Island Population: The Isle of Lesvos Stroke Study

Stranjalis

Κalamatianos²,

Gatzonis³

et al. 2014

Neuroepidemiology

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Background: There is a paucity of research on the incidence and distribution of stroke types in Greece. This is the first study investigating stroke incidence in a Greek island, the Northern Aegean island of Lesvos (Eastern Mediterranean Sea). Methods: A multisource, prospective population-based register was established and subjects with first-ever stroke (FES) between June 1st 2010 and May 31st 2011 were identified. Results: 197 FES subjects registered, 112 males and 85 females (mean age w SD = 75 w 12 years). Cerebral infarction was diagnosed in 77.7%, intracerebral hemorrhage in 12.7%, subarachnoid hemorrhage in 2.5%; undetermined stroke accounted for 7.1%. The crude annual incidence rates of FES were 227.9 (95% CI 196-260) per 100,000. Following age- and gender-standardization to the ‘European' population, FES incidence rates were 117 (95% CI 99-136). Early case fatality was 20.81% (95% CI 16-27%). Conclusions: The present findingsindicate that the incidence of FES in the studied Mediterranean population is at the low end of the range of estimates established by recent European registers. The results of the present study extend the limited epidemiological data on stroke in Greece and can help guide future monitoring, prevention and treatment strategies. i 2014 S. Karger AG, Basel

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“…Because death resulting from SAH often occurs before hospital admission (10-20 % of cases) [3,4] the true incidence of SAH could be even higher. Although a number of population based studies have indicated that the incidence of SAH remained relatively stable over the last four decades [2,5,6], a recent review, with data adjusted for age and sex, suggested a slight decrease in incidence between 1950 and 2005 for regions except Japan, South and Central America and Finland [1,7,8]. These data are consistent with studies that show that the incidence of SAH increases with age, with a typical average age of onset in adults C50-years-old [1,7,8].…”

Section: Epidemiology Of Sahmentioning

confidence: 97%

Headache in subarachnoid hemorrhage and headache attributed to intracranial endovascular procedures

2015

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Incidence and Case Fatality of Subarachnoid Haemorrhage in Northern Greece: The Evros Registry of Subarachnoid Haemorrhage

Abstract: The incidence and case-fatality rate of subarachnoid haemorrhage haemorrhage in Greece appear to be similar to other developed countries. No gender differences in subarachnoid haemorrhage incidence and case-fatality rate were documented.

Cited by 17 publications

References 28 publications

Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage

Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage

The Incidence of the First-Ever Stroke in a Mediterranean Island Population: The Isle of Lesvos Stroke Study

Headache in subarachnoid hemorrhage and headache attributed to intracranial endovascular procedures

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