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| Content Provider | frontiers |
|---|---|
| Author | Baig, Eman Tannous, Jonika Potter, Thomas Pan, Alan Prince, Taya Britz, Gavin Vahidy, Farhaan S Bako, Abdulaziz T. |
| Abstract | Introduction Data on nationwide trends and seasonal variations in the incidence of Intracerebral Hemorrhage (ICH) in the United States (US) are lacking. Methods We used the Nationwide Inpatient Sample (2004-2019) and Census Bureau data to calculate the quarterly (Q1:January-March; Q2:April-June; Q3:July-September; Q4:October-December) incidence rates (IR) of adult (≥18 years) ICH hospitalizations, aggregated across Q1-Q4 and Q2-Q3. We report adjusted incidence rate ratios (aIRR) and 95% confidence intervals (CI) for differences in the quarterly incidence of ICH, as compared to acute ischemic stroke (AIS), between Q1Q4 and Q2Q3 using a multivariable Poisson regression model. We additionally performed stratified analyses across the four US regions. Results Among 822,143 (49.0% female) ICH and 6,266,234 (51.9% female) AIS hospitalizations, the average quarterly crude IR of ICH was consistently higher in Q1Q4 compared to Q2Q3 (5.6 vs 5.2 per 100,000) (aIRR, CI: 1.09, 1.08-1.11) – this pattern was similar across all four US regions. However, a similar variation pattern was not observed for AIS incidence. The incidence (aIRR, CI) of both ICH (1.01, 1.00-1.02) and AIS (1.03, 1.02-1.03) is rising. Conclusion Unlike AIS, ICH incidence is consistently higher in colder quarters, underscoring the need for evaluation and prevention of factors driving seasonal variations in ICH incidence. |
| ISSN | 16642295 |
| DOI | 10.3389/fneur.2023.1179317 |
| Volume Number | 14 |
| Journal | Frontiers in Neurology |
| Language | English |
| Publisher Date | 2023-06-29 |
| Access Restriction | Open |
| Subject Keyword | Intracerebral hemorrhage Incidence rate Trends Seasonal variations Acute ischemic stroke |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Neurology (clinical) |
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