A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage.
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To determine the risk of recurrent subarachnoid hemorrhage (SAH), mortality, and relative survivorship following SAH caused by ruptured cerebral aneurysm (RCA). DESIGN/METHODS: T...
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/111397 2023-05-15T16:48:44+02:00 A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage. Olafsson, E Hauser, W A Gudmundsson, G National University Hospital, University of Iceland, Reykjavik. 2010-09-20 http://hdl.handle.net/2336/111397 en eng Lippincott Williams & Wilkins Ltd http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&D=ovftc&AN=00006114-199705000-00007 Neurology. 1997, 48(5):1191-5 0028-3878 9153441 http://hdl.handle.net/2336/111397 Neurology Adult Aneurysm Ruptured Cause of Death Cohort Studies Disabled Persons Female Humans Intracranial Aneurysm Male Middle Aged Mortality Prognosis Recurrence Subarachnoid Hemorrhage Survival Analysis Article 2010 ftlandspitaliuni 2022-05-29T08:21:37Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To determine the risk of recurrent subarachnoid hemorrhage (SAH), mortality, and relative survivorship following SAH caused by ruptured cerebral aneurysm (RCA). DESIGN/METHODS: The 86 individuals with a first diagnosis of SAH caused by RCA in Iceland from 1958 through 1968 were followed a minimum of 24 years (range, 24 to 32.5 years) or until death to determine mortality and to identify those with recurrent SAH. RESULTS: Thirty-eight patients (44%) died within 30 days of the index event. Two additional (both comatose from onset of ictus) died in the following month. There were no deaths between 3 and 6 months after onset. Based upon the age/gender-specific person years of observation for the population of Iceland, the Standardized Mortality Ratio for the 44 surgically treated patients surviving 6 months was 1.3. Those neurologically normal or with only mild impairment at 6 months had no identified increase in mortality. Excess mortality that was limited to individuals with severe neurologic deficit at 6 months could be identified through the first 10 years after onset. Two 6-month survivors experienced recurrent SAH. CONCLUSIONS: Early mortality is high (47%) in patients with RCA. In patients operated on for RCA and surviving 6 months, recurrent SAH occurred in 5%. Survivorship among patients surgically treated and neurologically normal or with mild residual neurologic impairment at 6 months following presentation was similar to that expected in the general population. Survivorship among patients surgically treated who had severe residual neurologic impairment at 6 months was significantly reduced. Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive |
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Open Polar |
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Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Adult Aneurysm Ruptured Cause of Death Cohort Studies Disabled Persons Female Humans Intracranial Aneurysm Male Middle Aged Mortality Prognosis Recurrence Subarachnoid Hemorrhage Survival Analysis |
spellingShingle |
Adult Aneurysm Ruptured Cause of Death Cohort Studies Disabled Persons Female Humans Intracranial Aneurysm Male Middle Aged Mortality Prognosis Recurrence Subarachnoid Hemorrhage Survival Analysis Olafsson, E Hauser, W A Gudmundsson, G A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage. |
topic_facet |
Adult Aneurysm Ruptured Cause of Death Cohort Studies Disabled Persons Female Humans Intracranial Aneurysm Male Middle Aged Mortality Prognosis Recurrence Subarachnoid Hemorrhage Survival Analysis |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To determine the risk of recurrent subarachnoid hemorrhage (SAH), mortality, and relative survivorship following SAH caused by ruptured cerebral aneurysm (RCA). DESIGN/METHODS: The 86 individuals with a first diagnosis of SAH caused by RCA in Iceland from 1958 through 1968 were followed a minimum of 24 years (range, 24 to 32.5 years) or until death to determine mortality and to identify those with recurrent SAH. RESULTS: Thirty-eight patients (44%) died within 30 days of the index event. Two additional (both comatose from onset of ictus) died in the following month. There were no deaths between 3 and 6 months after onset. Based upon the age/gender-specific person years of observation for the population of Iceland, the Standardized Mortality Ratio for the 44 surgically treated patients surviving 6 months was 1.3. Those neurologically normal or with only mild impairment at 6 months had no identified increase in mortality. Excess mortality that was limited to individuals with severe neurologic deficit at 6 months could be identified through the first 10 years after onset. Two 6-month survivors experienced recurrent SAH. CONCLUSIONS: Early mortality is high (47%) in patients with RCA. In patients operated on for RCA and surviving 6 months, recurrent SAH occurred in 5%. Survivorship among patients surgically treated and neurologically normal or with mild residual neurologic impairment at 6 months following presentation was similar to that expected in the general population. Survivorship among patients surgically treated who had severe residual neurologic impairment at 6 months was significantly reduced. |
author2 |
National University Hospital, University of Iceland, Reykjavik. |
format |
Article in Journal/Newspaper |
author |
Olafsson, E Hauser, W A Gudmundsson, G |
author_facet |
Olafsson, E Hauser, W A Gudmundsson, G |
author_sort |
Olafsson, E |
title |
A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage. |
title_short |
A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage. |
title_full |
A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage. |
title_fullStr |
A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage. |
title_full_unstemmed |
A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage. |
title_sort |
population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage. |
publisher |
Lippincott Williams & Wilkins Ltd |
publishDate |
2010 |
url |
http://hdl.handle.net/2336/111397 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&D=ovftc&AN=00006114-199705000-00007 Neurology. 1997, 48(5):1191-5 0028-3878 9153441 http://hdl.handle.net/2336/111397 Neurology |
_version_ |
1766038824831418368 |