NDLI: Incidence, epidemiology, and treatment of aneurysmal subarachnoid hemorrhage in 12 midwest communities.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ziemba-Davis, Mary Bohnstedt, Bradley N. Payner, Troy D. Leipzig, Thomas J. Palmer, Erin Cohen-Gadol, Aaron A.
Spatial Coverage	Indiana
Description	Author Affiliation: Ziemba-Davis M ( St Vincent Neuroscience Institute, Indianapolis, Indiana.); Bohnstedt BN ( Department of Neurological Surgery, Goodman Campbell Brain and Spine, Indiana University School of Medicine, Indianapolis, Indiana.); Payner TD ( St Vincent Neuroscience Institute, Indianapolis, Indiana); Leipzig TJ ( Department of Neurological Surgery, Goodman Campbell Brain and Spine, Indiana University School of Medicine, Indianapolis, Indiana.); Palmer E ( Department of Neurological Surgery, Goodman Campbell Brain and Spine, Indiana University School of Medicine, Indianapolis, Indiana.); Cohen-Gadol AA ( Department of Neurological Surgery, Goodman Campbell Brain and Spine, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: acohenmd@gmail.com.)
Abstract	Only 8 studies have investigated the incidence and epidemiology of aneurysmal subarachnoid hemorrhage (aSAH) in the United States. This is the first investigation in Indiana, which has some of the highest rates of tobacco smoking and obesity in the nation. The authors prospectively identified 441 consecutive patients with aSAH from 2005 to 2010 at 2 hospitals where the majority of cases are treated. Incidence calculations were based on US Census populations. Epidemiologic variables included demography; risk factors; Hunt and Hess scale; Fisher grade; number, location, and size of aneurysms; treatment type; and complications. Overall incidence was 21.8 per 100,000 population. Incidence was higher in women, increased with age, and did not vary by race. One third to half of patients were hypertensive and/or smoked cigarettes at the time of ictus. Variations by count were partially explained by Health Factor and Morbidity Rankings. Complications varied by treatment. These findings deviate from estimates that 6-16 per 100,000 people in the United States will develop aSAH and are double the incidence in a Minnesota population between 1945 and 1974. The results also deviate from the worldwide estimate of 9.0 aSAHs per 100,000 person-years. The predictive value of variations in Health Factor and Morbidity Rankings implicates the importance of future research on multivariate biopsychosocial causation of aSAH.
File Format	HTM / HTML
ISSN	10523057
Issue Number	5
Volume Number	23
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2014-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Chi-square Distribution Therapy Multivariate Analysis Prospective Studies Age Factors Indiana Humans Middle Aged Male Epidemiology Journal Article Incidence Discipline Cardiology Subarachnoid Hemorrhage Adult Female Diagnosis Hypertension Adverse Effects Risk Assessment Risk Factors Treatment Outcome Sex Factors Multicenter Study Aged Smoking
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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