Incidence and Outcome of Aneurysmal Subarachnoid Hemorrhage The Swiss Study on Subarachnoid Hemorrhage (Swiss SOS)

被引：63

作者：

Schatlo, Bawarjan ^{[1
,6
,9
]}

Fung, Christian ^{[10
,23
]}

Stienen, Martin N. ^{[13
]}

Fathi, Ali R. ^{[15
]}

Fandino, Javier ^{[6
]}

Smoll, Nicolas R. ^{[16
]}

Zumofen, Daniel ^{[17
]}

Daniel, Roy Thomas ^{[18
]}

Burkhardt, Jan-Karl ^{[13
]}

Bervini, David ^{[10
]}

Marbacher, Serge ^{[6
]}

Reinert, Michael ^{[19
]}

D'Alonzo, Donato ^{[6
]}

Ahlborn, Peter ^{[20
]}

Pereira, Vitor Mendes ^{[21
]}

Roethlisberger, Michel ^{[17
]}

Seule, Martin ^{[20
]}

Kerkeni, Hassen ^{[7
]}

Remonda, Luca ^{[8
,13
]}

Weyerbrock, Astrid ^{[20
]}

Woernle, Kerstin ^{[6
]}

Venier, Alice ^{[19
]}

Perren, Fabienne ^{[2
]}

Sailer, Martin ^{[17
]}

Robert, Thomas ^{[19
]}

Rohde, Veit ^{[9
]}

Schoni, Daniel ^{[10
]}

Goldberg, Johannes ^{[10
]}

Nevzati, Edin ^{[22
]}

Diepers, Michael ^{[8
]}

Gralla, Jan ^{[11
]}

Z'Graggen, Werner ^{[11
]}

Starnoni, Daniele ^{[18
]}

Woernle, Christoph ^{[13
]}

Maldaner, Nicolai ^{[13
]}

Kulcsar, Zsolt ^{[5
]}

Mostaguir, Khaled ^{[3
]}

Maduri, Rodolfo ^{[18
]}

Eisenring, Christian ^{[10
]}

Bernays, Rene ^{[13
]}

Ferrari, Andrea ^{[20
]}

Dan-Ura, Hiroki ^{[6
]}

Finkenstaedt, Sina ^{[13
]}

Gasche, Yvan ^{[4
]}

Sarrafzadeh, Asita ^{[1
]}

Jakob, Stephan M. ^{[12
]}

Corniola, Marco ^{[1
]}

Baumann, Fabian ^{[22
]}

Regli, Luca ^{[1
]}

Levivier, Marc ^{[18
]}

机构：

[1] Univ Hosp Geneva, Neurosurg, Geneva, Switzerland

[2] Univ Hosp Geneva, Neurol, Geneva, Switzerland

[3] Univ Hosp Geneva, Clin Res Ctr, Geneva, Switzerland

[4] Univ Hosp Geneva, Intens Care Med, Geneva, Switzerland

[5] Univ Hosp Zurich, Dept Neuroradiol, Zurich, Switzerland

[6] Kantonsspital Aarau Switzerland, Neurosurg, Aarau, Switzerland

[7] Kantonsspital Aarau Switzerland, Neurol, Aarau, Switzerland

[8] Kantonsspital Aarau Switzerland, Neuroradiol, Aarau, Switzerland

[9] Univ Hosp Gottingen, Neurosurg, Gottingen, Germany

[10] Univ Hosp Bern Switzerland, Neurosurg, Bern, Switzerland

[11] Univ Hosp Bern Switzerland, Neuroradiol, Bern, Switzerland

[12] Univ Hosp Bern Switzerland, Intens Care Med, Bern, Switzerland

[13] Univ Hosp Zurich, Neurosurg, Zurich, Switzerland

[14] Univ Hosp Zurich, Intens Care Med, Zurich, Switzerland

[15] Hirslanden Klin Aarau, Neurosurg, Aarau, Switzerland

[16] Univ Melbourne, Sch Populat & Global, Melbourne, Vic, Australia

[17] Univ Hosp Basel, Neurosurg, Basel, Switzerland

[18] Univ Hosp Lausanne, Neurosurg, Lausanne, Switzerland

[19] Osped Civ Lugano, Neurosurg, Lugano, Switzerland

[20] Kantonsspital St Gallen, Neurosurg, St Gallen, Switzerland

[21] Univ Toronto, Neuroradiol, Toronto, ON, Canada

[22] Kantonsspital Luzern Switzerland, Neurosurg, Luzern, Switzerland

[23] Univ Freiburg, Fac Med, Med Ctr, Dept Neurosurg, Freiburg, Germany

来源：

STROKE | 2021年 / 52卷 / 01期

基金：

英国惠康基金;

关键词：

incidence; intracranial aneurysm; outcome; subarachnoid hemorrhage; patients; stroke; Switzerland; CASE-FATALITY; REGION; DEATH; TIME; AGE;

D O I：

10.1161/STROKEAHA.120.029538

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND AND PURPOSE: The purpose of this study was to assess nationwide incidence and outcomes of aneurysmal subarachnoid hemorrhage (aSAH). The Swiss SOS (Swiss Study on Subarachnoid Hemorrhage) was established in 2008 and offers the unique opportunity to provide this data from the point of care on a nationwide level. Methods: All patients with confirmed aneurysmal subarachnoid hemorrhage admitted between January 1, 2009 and December 31, 2014, within Switzerland were recorded in a prospective registry. Incidence rates were calculated based on time-matched population data. Admission parameters and outcomes at discharge and at 1 year were recorded. Results: We recorded data of 1787 consecutive patients. The incidence of aneurysmal subarachnoid hemorrhage in Switzerland was 3.7 per 100 000 persons/y. The number of female patients was 1170 (65.5%). With a follow-up rate of 91.3% at 1 year, 1042 patients (58.8%) led an independent life according to the modified Rankin Scale (0-2). About 1 in 10 patients survived in a dependent state (modified Rankin Scale, 3-5; n=185; 10.4%). Case fatality was 20.1% (n=356) at discharge and 22.1% (n=391) after 1 year. Conclusions: The current incidence of aneurysmal subarachnoid hemorrhage in Switzerland is lower than expected and an indication of a global trend toward decreasing admissions for ruptured intracranial aneurysms. REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifier: NCT03245866.

引用

页码：344 / 347

页数：4

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