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Incidence and Outcome of Aneurysmal Subarachnoid Hemorrhage: The Swiss Study on Subarachnoid Hemorrhage (Swiss SOS).
Schatlo, Bawarjan; Fung, Christian; Stienen, Martin N; Fathi, Ali R; Fandino, Javier; Smoll, Nicolas R; Zumofen, Daniel; Daniel, Roy Thomas; Burkhardt, Jan-Karl; Bervini, David; Marbacher, Serge; Reinert, Michael; D Alonzo, Donato; Ahlborn, Peter; Mendes Pereira, Vitor; Roethlisberger, Michel; Seule, Martin; Kerkeni, Hassen; Remonda, Luca; Weyerbrock, Astrid; Woernle, Kerstin; Venier, Alice; Perren, Fabienne; Sailer, Martin; Robert, Thomas; Rohde, Veit; Schöni, Daniel; Goldberg, Johannes; Nevzati, Edin; Diepers, Michael; Gralla, Jan; Z'Graggen, Werner; Starnoni, Daniele; Woernle, Christoph; Maldaner, Nicolai; Kulcsar, Zsolt; Mostaguir, Khaled; Maduri, Rodolfo; Eisenring, Christian; Bernays, René; Ferrari, Andrea; Dan-Ura, Hiroki; Finkenstädt, Sina; Gasche, Yvan; Sarrafzadeh, Asita; Jakob, Stephan M; Corniola, Marco; Baumann, Fabian; Regli, Luca; Levivier, Marc.
Afiliação
  • Schatlo B; Neurosurgery (B.S., A.S., M.C., P.B., K.S.), University Hospital Geneva, Switzerland.
  • Fung C; Neurosurgery (B.S., J.F., S.M., D.D., K.W., H.D.U., H.L.), Kantonsspital Aarau Switzerland.
  • Stienen MN; Neurosurgery, University Hospital Göttingen Germany (B.S., V.R.).
  • Fathi AR; Neurosurgery (C.F., D.B., D. Schöni, J. Goldberg, C.E., J.B., A.R.), University Hospital Bern Switzerland.
  • Fandino J; Department of Neurosurgery, Faculty of Medicine, Medical Center, University of Freiburg, Germany (J.B., C.F.).
  • Smoll NR; Neurosurgery (M.N.S., J.-K.B., C.W., N.M., R.B., S.F., L.R.), University Hospital Zürich Switzerland.
  • Zumofen D; Neurosurgery, Hirslanden Klinik Aarau Switzerland (A.R.F.).
  • Daniel RT; Neurosurgery (B.S., J.F., S.M., D.D., K.W., H.D.U., H.L.), Kantonsspital Aarau Switzerland.
  • Burkhardt JK; School of Population and Global, University of Melbourne Australia (N.R.S.).
  • Bervini D; Neurosurgery, University Hospital Basel Switzerland (D.Z., M. Roethlisberger, M. Sailer, L.M., R.G.).
  • Marbacher S; Neurosurgery, University Hospital Lausanne Switzerland (R.T.D., D. Starnoni, R.M., M.L.).
  • Reinert M; Neurosurgery (M.N.S., J.-K.B., C.W., N.M., R.B., S.F., L.R.), University Hospital Zürich Switzerland.
  • D Alonzo D; Neurosurgery (C.F., D.B., D. Schöni, J. Goldberg, C.E., J.B., A.R.), University Hospital Bern Switzerland.
  • Ahlborn P; Neurosurgery (B.S., J.F., S.M., D.D., K.W., H.D.U., H.L.), Kantonsspital Aarau Switzerland.
  • Mendes Pereira V; Neurosurgery, Ospedale Civico Lugano Switzerland (M. Reinert, A.V., T.R.).
  • Roethlisberger M; Neurosurgery (B.S., J.F., S.M., D.D., K.W., H.D.U., H.L.), Kantonsspital Aarau Switzerland.
  • Seule M; Neurosurgery, Kantonsspital St. Gallen Switzerland (P.A., M. Seule, A.W., A.F., G.H.).
  • Kerkeni H; Neuroradiology, University of Toronto Canada (V.M.P.).
  • Remonda L; Neurosurgery, University Hospital Basel Switzerland (D.Z., M. Roethlisberger, M. Sailer, L.M., R.G.).
  • Weyerbrock A; Neurosurgery, Kantonsspital St. Gallen Switzerland (P.A., M. Seule, A.W., A.F., G.H.).
  • Woernle K; Neurology (H.K.), Kantonsspital Aarau Switzerland.
  • Venier A; Neuroradiology (L.R., M.D.), Kantonsspital Aarau Switzerland.
  • Perren F; Neurosurgery, Kantonsspital St. Gallen Switzerland (P.A., M. Seule, A.W., A.F., G.H.).
  • Sailer M; Neurosurgery (B.S., J.F., S.M., D.D., K.W., H.D.U., H.L.), Kantonsspital Aarau Switzerland.
  • Robert T; Neurosurgery, Ospedale Civico Lugano Switzerland (M. Reinert, A.V., T.R.).
  • Rohde V; Neurology (F.P.), University Hospital Geneva, Switzerland.
  • Schöni D; Neurosurgery, University Hospital Basel Switzerland (D.Z., M. Roethlisberger, M. Sailer, L.M., R.G.).
  • Goldberg J; Neurosurgery, Ospedale Civico Lugano Switzerland (M. Reinert, A.V., T.R.).
  • Nevzati E; Neurosurgery, University Hospital Göttingen Germany (B.S., V.R.).
  • Diepers M; Neurosurgery (C.F., D.B., D. Schöni, J. Goldberg, C.E., J.B., A.R.), University Hospital Bern Switzerland.
  • Gralla J; Neurosurgery (C.F., D.B., D. Schöni, J. Goldberg, C.E., J.B., A.R.), University Hospital Bern Switzerland.
  • Z'Graggen W; Neurosurgery, Kantonsspital Luzern Switzerland (E.N., F.B.).
  • Starnoni D; Neuroradiology (L.R., M.D.), Kantonsspital Aarau Switzerland.
  • Woernle C; Neuroradiology (J. Gralla, W.Z.), University Hospital Bern Switzerland.
  • Maldaner N; Neuroradiology (J. Gralla, W.Z.), University Hospital Bern Switzerland.
  • Kulcsar Z; Neurosurgery, University Hospital Lausanne Switzerland (R.T.D., D. Starnoni, R.M., M.L.).
  • Mostaguir K; Neurosurgery (M.N.S., J.-K.B., C.W., N.M., R.B., S.F., L.R.), University Hospital Zürich Switzerland.
  • Maduri R; Neurosurgery (M.N.S., J.-K.B., C.W., N.M., R.B., S.F., L.R.), University Hospital Zürich Switzerland.
  • Eisenring C; Department of Neuroradiology, University Hospital Zürich, Switzerland (Z.K.).
  • Bernays R; Clinical Research Centre, (K.M.), University Hospital Geneva, Switzerland.
  • Ferrari A; Neurosurgery, University Hospital Lausanne Switzerland (R.T.D., D. Starnoni, R.M., M.L.).
  • Dan-Ura H; Neurosurgery (C.F., D.B., D. Schöni, J. Goldberg, C.E., J.B., A.R.), University Hospital Bern Switzerland.
  • Finkenstädt S; Neurosurgery (M.N.S., J.-K.B., C.W., N.M., R.B., S.F., L.R.), University Hospital Zürich Switzerland.
  • Gasche Y; Neurosurgery, Kantonsspital St. Gallen Switzerland (P.A., M. Seule, A.W., A.F., G.H.).
  • Sarrafzadeh A; Neurosurgery (B.S., J.F., S.M., D.D., K.W., H.D.U., H.L.), Kantonsspital Aarau Switzerland.
  • Jakob SM; Neurosurgery (M.N.S., J.-K.B., C.W., N.M., R.B., S.F., L.R.), University Hospital Zürich Switzerland.
  • Corniola M; Intensive Care Medicine (Y.G.), University Hospital Geneva, Switzerland.
  • Baumann F; Neurosurgery (B.S., A.S., M.C., P.B., K.S.), University Hospital Geneva, Switzerland.
  • Regli L; Intensive Care Medicine (S.M.J.), University Hospital Bern Switzerland.
  • Levivier M; Neurosurgery (B.S., A.S., M.C., P.B., K.S.), University Hospital Geneva, Switzerland.
Stroke ; 52(1): 344-347, 2021 01.
Article em En | MEDLINE | ID: mdl-33272133
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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hemorragia Subaracnóidea Tipo de estudo: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País como assunto: Europa Idioma: En Ano de publicação: 2021 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hemorragia Subaracnóidea Tipo de estudo: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País como assunto: Europa Idioma: En Ano de publicação: 2021 Tipo de documento: Article