Risk of Aneurysmal Subarachnoid Hemorrhage

Jiménez-Yepes, Carlos Mario; Londoño-Fernández, Juan Luis

doi:10.1161/strokeaha.107.504019

Cited by 17 publications

(5 citation statements)

References 16 publications

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“…A Colombian case-control study found no significant association between coffee intake and SAH. 12 Our results appear to be consistent with those of a Norwegian study 11 that showed significantly increased SAH mortality among subjects who drank more than 6 cups of coffee a day.…”

Section: Discussionsupporting

confidence: 91%

“…To our knowledge, this is the first report of a significant increase of SAH incidence among heavy coffee drinkers in Japan. Given the mixed epidemiological research results on the cerebrovascular effects of coffee, 5 – 7 , 11 , 12 , 16 this finding is valuable.…”

Section: Discussionmentioning

confidence: 99%

“…However, little information on the association between coffee consumption and SAH is available, and results are mixed. 5 , 6 , 11 , 12 Japan has a nontraditional culture of coffee consumption, with few high-volume consumers of this beverage. 17 Only one Japanese study has assessed the association of coffee consumption with incident SAH, and the study reported no association.…”

Section: Introductionmentioning

confidence: 99%

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Coffee Consumption and Incidence of Subarachnoid Hemorrhage: The Jichi Medical School Cohort Study

Sakamaki

Hara

Kayaba

et al. 2016

Journal of Epidemiology

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BackgroundPrevious studies on the association between coffee consumption and subarachnoid hemorrhage (SAH) have provided inconsistent results. We examine the risk of SAH from coffee consumption in a Japanese population.MethodsOur analyses were based on the Jichi Medical School Cohort Study, a large-scale population-based prospective cohort study. A total of 9941 participants (3868 men and 6073 women; mean age 55 years) with no history of cardiovascular disease or carcinoma were examined. Participants were asked to choose one of five options to indicate their daily coffee consumption: none, less than 1 cup a day, 1–2 cups a day, 3–4 cups a day, or 5 or more cups a day. The incidence of SAH was assessed independently by a diagnostic committee. Cox proportional hazards models were used to calculate hazard ratios (HRs) and their 95% confidence intervals (CI) after adjustment for age and sex (HR1) and for additional potential confounders (HR2).ResultsDuring 10.7 years of follow-up, SAH occurred in 47 participants. When compared with the participants who consumed less than 1 cup of coffee a day, the HR of SAH was significantly higher in the group who consumed 5 or more cups a day in both models (HR1 4.49; 95% CI, 1.44–14.00; HR2 3.79; 95% CI, 1.19–12.05).ConclusionsThe present community-based cohort study showed that heavy coffee consumption was associated with an increased incidence of SAH after adjusting for age, sex, and multiple potential cardiovascular confounders.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Coffee Consumption and Incidence of Subarachnoid Hemorrhage: The Jichi Medical School Cohort Study

Sakamaki

Hara

Kayaba

et al. 2016

Journal of Epidemiology

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“…Among patients with aSAH, 60% were hypertensive. Hypertension is an independent risk factor for aSAH, [21][22][23] and Asian descents are more prone to hypertension compared with Caucasians. [24][25][26] In the Philippines, it is the leading cardiovascular disease at 38%.…”

Section: Discussionmentioning

confidence: 99%

Clinical Profile of Patients with Aneurysmal Subarachnoid Hemorrhage in a Tertiary Government Hospital

2023

IJFMR

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INTRODUCTION: Aneurysmal subarachnoid hemorrhage (aSAH) remains a serious disease with high morbidity and mortality. Early detection and treatment contribute to increase chance of survival and better prognosis. This study aims to determine the clinical profile of patients with aSAH who were admitted in a tertiary government hospital in Cebu, Philippines. METHODS: A single, cross-sectional study was performed on 250 patients diagnosed with aSAH at Vicente Sotto Memorial Medical Center (VSMMC), Cebu, Philippines from January 2016 to June 2020. RESULTS: Majority of the patients were female (68.0%) while 32.0% were male. Most of these patients were <60 years old. Hypertension was the most common comorbidity associated with aneurysm. On the other hand, history of smoking was noted in 26.0% of patients. Seventy five percent of patients had elevated BP, while other vital signs were mostly normal. The clinical presentation included severe headache (73.0%), followed by loss of consciousness (16.0%), neurologic deficit (8.0%), seizure (1.0%), and cranial nerve (CN) palsy (1.0%). Most of the patients on admission were classified as good grade at 69% while 31% were poor grade. On CT scan, most patients had Fisher grade III (33.0%). Small size aneurysms were the most common ruptured aneurysms CONCLUSION: The identified risk factors in developing aneurysmal subarachnoid hemorrhage (aSAH) were advanced age, female gender, and hypertension. Majority of the patients complained of severe headache, loss of consciousness and neurologic deficit. Predominantly, these patients had good grade aneurysm. The most common location of aneurysms were the posterior communicating artery, anterior communicating artery, and middle cerebral artery. Small size aneurysms had the highest frequency of ruptured aneurysms.

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“…There is limited data upon which to make dietary recommendations specifically for the prevention of subarachnoid hemorrhage (SAH) in high-risk individuals [20,21,22,23,24,25,26,27]. There may be specific dietary exposure that alone or in association with the two established risk factors for the condition, namely hypertension and smoking, may contribute to the formation and rupture of intracranial aneurysms.…”

Section: Introductionmentioning

confidence: 99%

Dietary Intake of Key Nutrients and Subarachnoid Hemorrhage: A Population-Based Case-Control Study in Australasia

Shiue

Arima²,

Hankey³

et al. 2011

Cerebrovasc Dis

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Background: A healthy, balanced diet can prevent stroke, but little is known about dietary risk factors for subarachnoid hemorrhage (SAH). We aimed to determine the relationship between common dietary habits and risk of SAH. Methods: In a population-based, case-control study of SAH undertaken across 4 Australasian cities, a standardized questionnaire was used to obtain information on the frequency of consumption of 15 common food items and alcohol in incident cases (n = 383) and frequency-matched community controls (n = 473). Logistic regression models were used to estimate the independent effects of these dietary factors, after adjusting for conventional risk factors for SAH. Data are reported with odds ratios (OR) and 95% confidence intervals (CI). Results: The risk of SAH rose with increasing consumption of fat or skin on meat (p trend = 0.04), being highest in those with consumption >4 times weekly compared with no fat or skin on meat (adjusted OR 1.70, 95% CI 1.09–2.66), while use of skim or reduced-fat milk (p trend = 0.01) and fruit (p trend = 0.04) was associated with a reduced risk of SAH compared with rare use. Among people with a history of hypertension, frequently adding salt to food was associated with an increased risk of SAH, irrespective of whether they were (OR 2.58, 95% CI 1.29–5.13) or were not (OR 2.88, 95% CI 1.46–5.70) currently taking antihypertensive treatment. Conclusions: Frequent intake of fat appears to be associated with an increased risk of SAH, particularly in people with hypertension, while frequent use of skim or reduced-fat milk and fruit appears protective for SAH.

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Risk of Aneurysmal Subarachnoid Hemorrhage

Cited by 17 publications

References 16 publications

Coffee Consumption and Incidence of Subarachnoid Hemorrhage: The Jichi Medical School Cohort Study

Coffee Consumption and Incidence of Subarachnoid Hemorrhage: The Jichi Medical School Cohort Study

Clinical Profile of Patients with Aneurysmal Subarachnoid Hemorrhage in a Tertiary Government Hospital

Dietary Intake of Key Nutrients and Subarachnoid Hemorrhage: A Population-Based Case-Control Study in Australasia

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