Incidence and Outcomes of Aneurysmal Subarachnoid Hemorrhage: A Multicenter Retrospective Registry-based Descriptive Trial in Kobe City

Autor: Tsuyoshi OHTA, Shirabe MATSUMOTO, Ryu FUKUMITSU, Hirotoshi IMAMURA, Hidemitsu ADACHI, Yoshie HARA, Kohkichi HOSODA, Hidehito KIMURA, Kazuyuki KUWAYAMA, Takashi MIZOWAKI, Yasuhiko MOTOOKA, Shiro MIYATA, Narihide SHINODA, Yasushi UENO, Ikuya YAMAURA, Yasuhisa YOSHIDA, Chiaki SAKAI, Nobuyuki SAKAI
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Neurologia Medico-Chirurgica, Vol 63, Iss 11, Pp 519-525 (2023)
Druh dokumentu: article
ISSN: 1349-8029
DOI: 10.2176/jns-nmc.2023-0090
Popis: The current study aims to evaluate the incidence and results of aneurysmal subarachnoid hemorrhage (aSAH) throughout Kobe City. Based on a multicenter retrospective registry-based descriptive trial involving all 13 primary stroke centers in Kobe City, patients with aSAH treated between October 2017 and September 2019 were studied. A total of 334 patients were included, with an estimated age-adjusted incidence of 11.12 per 100,000 person-years. Curative treatment was given to 94% of patients, with endovascular treatment (51%) preferred over surgical treatment (43%). Of the patients, 12% were treated by shunt surgery for sequential hydrocephalus with a worse outcome at 30 days or discharge (14% vs. 46%, odds ratio (OR): 0.19, 95% confidence interval (CI): 0.088-0.39, p-value
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