NDLI: Excess mortality and cardiovascular events in patients surviving subarachnoid hemorrhage: a nationwide study in Sweden.

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Excess mortality and cardiovascular events in patients surviving subarachnoid hemorrhage: a nationwide study in Sweden.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Nieuwkamp, Dennis J. Adami, Johanna Blomqvist, Paul Rinkel, Gabriël J. E. Algra, Ale Buskens, Erik Koffijberg, Hendrik
Spatial Coverage	Sweden
Description	Country affiliation: Netherlands Author Affiliation: Nieuwkamp DJ ( Department of Neurology, C03.236, University Medical Center Utrecht, PO Box 85500, 3584 CX Utrecht, The Netherlands. d.nieuwkamp@umcutrecht.nl)
Abstract	BACKGROUND AND PURPOSE: Survivors of aneurysmal subarachnoid hemorrhage (SAH) may have an increased risk of cardiovascular events because of shared risk factors. We compared incidences of vascular diseases, vascular death, and all-cause death after SAH with those in the general population. METHODS: From the Swedish Hospital Discharge and Cause of Death registries, we identified patients with SAH between January 1987 and January 2003. Conditional on survival of 3 months after SAH, we calculated standardized mortality and incidence ratios with corresponding 95% CIs for vascular death, all-cause death, and fatal or nonfatal vascular diseases. Cumulative risks were estimated with survival analysis. RESULTS: Of 17,705 patients with SAH (mean age, 59.7 years; 59.5% women), 11,374 survived at least 3 months after SAH. During follow-up (mean, 6.8 years), 2152 (18.9%) died. The risk of death was 12.9% within 5 years, 23.6% within 10 years, and 35.4% within 15 years after SAH. The overall standardized mortality ratio was 1.57 (95% CI, 1.44 to 1.70) for vascular death and 1.61 (95% CI, 1.52 to 1.70) for all-cause death. The standardized mortality ratios were particularly high in younger individuals, ranging from 2.1 to 3.7 for vascular death and from 2.1 to 2.6 for all-cause death for patients between 50 and 65 years of age. The standardized incidence ratio for fatal or nonfatal vascular diseases was 1.51 (95% CI, 1.45 to 1.56). CONCLUSIONS: Mortality and risk of vascular diseases are increased in survivors of SAH. Prevention of new vascular diseases after SAH by management of risk factors seems important.
ISSN	00392499
e-ISSN	15244628
Journal	Stroke
Issue Number	4
Volume Number	42
Language	English
Publisher	Lippincott Williams & Wilkins (on behalf of the American Heart Association)
Publisher Date	2011-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Cardiovascular Diseases Mortality Cerebrovascular Disorders Subarachnoid Hemorrhage Adolescent Age Distribution Comorbidity Odds Ratio Registries Risk Assessment Risk Factors Survival Rate Sweden Epidemiology Comparative Study Research Support, Non-u.s. Gov't Discipline Cardiology
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine Neuroscience Advanced and Specialized Nursing Neurology (clinical)

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