Stroke Seasonality and Weather Association in a Middle East Country: A Single Tertiary Center Experience

Background: Stroke is a medical condition that leads to major disability and mortality worldwide. Some evidence suggests that weather and seasonal variations could have an impact on stroke incidence and outcome. However, the current evidence is inconclusive. Therefore, this study examines the season...

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Main Authors: Saeed A. M. Alghamdi, Mohammed A. Aldriweesh, Bayan A. Al Bdah, Muath A. Alhasson, Sultan A. Alsaif, Waleed A. Alluhidan, Faisal M. Almutairi, Mohammed A. Alskaini, Naser Alotaibi, Ali M. Al Khathaami
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2021.707420/full
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author Saeed A. M. Alghamdi
Saeed A. M. Alghamdi
Saeed A. M. Alghamdi
Mohammed A. Aldriweesh
Mohammed A. Aldriweesh
Bayan A. Al Bdah
Muath A. Alhasson
Sultan A. Alsaif
Waleed A. Alluhidan
Faisal M. Almutairi
Faisal M. Almutairi
Mohammed A. Alskaini
Naser Alotaibi
Naser Alotaibi
Naser Alotaibi
Ali M. Al Khathaami
Ali M. Al Khathaami
Ali M. Al Khathaami
author_facet Saeed A. M. Alghamdi
Saeed A. M. Alghamdi
Saeed A. M. Alghamdi
Mohammed A. Aldriweesh
Mohammed A. Aldriweesh
Bayan A. Al Bdah
Muath A. Alhasson
Sultan A. Alsaif
Waleed A. Alluhidan
Faisal M. Almutairi
Faisal M. Almutairi
Mohammed A. Alskaini
Naser Alotaibi
Naser Alotaibi
Naser Alotaibi
Ali M. Al Khathaami
Ali M. Al Khathaami
Ali M. Al Khathaami
author_sort Saeed A. M. Alghamdi
collection DOAJ
description Background: Stroke is a medical condition that leads to major disability and mortality worldwide. Some evidence suggests that weather and seasonal variations could have an impact on stroke incidence and outcome. However, the current evidence is inconclusive. Therefore, this study examines the seasonal variations and meteorological influences on stroke incidence and outcome in the largest city in Saudi Arabia.Methods: From February 2016 to July 2019, we retrospectively reviewed data from all patients with acute ischemic (AIS) or hemorrhagic stroke (HS) admitted to the stroke unit in a tertiary academic center in Saudi Arabia. The corresponding daily meteorological data were obtained for the same period. We considered the months from November to March as the cold season and April to October as the hot season.Results: The final cohort included 1,271 stroke patients; 60.89% (n = 774) cases occurred in the hot season, while 39.1% (n = 497) in the cold season. Males accounted for 69.6% (n = 884) of the cases. The proportion of ischemic stroke was 83.2% [hot season 83.9% (n = 649) vs. cold season 82.3% (n = 409)]. We found no statistically significant difference between seasons (hot or cold) in stroke incidence, severity [National Institutes of Health Stroke Scale (NIHSS)], hospital course (pneumonia, thromboembolism, intensive care stay, or length of stay), or outcome [modified Rankin scale (mRS) on discharge and death].Conclusions: In Riyadh, Saudi Arabia, our study found no impact of weather or seasonal variations on stroke incidence, hospital course, or outcomes. However, our findings warrant further research in different country regions.
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spelling doaj.art-27baf2f1a5c44f3da9a5c815b1018c4f2022-12-21T23:33:30ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-10-011210.3389/fneur.2021.707420707420Stroke Seasonality and Weather Association in a Middle East Country: A Single Tertiary Center ExperienceSaeed A. M. Alghamdi0Saeed A. M. Alghamdi1Saeed A. M. Alghamdi2Mohammed A. Aldriweesh3Mohammed A. Aldriweesh4Bayan A. Al Bdah5Muath A. Alhasson6Sultan A. Alsaif7Waleed A. Alluhidan8Faisal M. Almutairi9Faisal M. Almutairi10Mohammed A. Alskaini11Naser Alotaibi12Naser Alotaibi13Naser Alotaibi14Ali M. Al Khathaami15Ali M. Al Khathaami16Ali M. Al Khathaami17Division of Neurology, Department of Medicine, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaKing Abdullah International Medical Research Center, Jeddah, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Abdullah International Medical Research Center, Riyadh, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaUnaizah College of Medicine, Qassim University, Qassim, Saudi ArabiaCollege of Medicine, Almaarefa University, Riyadh, Saudi ArabiaCollege of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Abdullah International Medical Research Center, Riyadh, Saudi ArabiaDepartment of Neurology, Prince Sultan Military Medical City, Riyadh, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Abdullah International Medical Research Center, Riyadh, Saudi Arabia0Division of Neurology, Department of Medicine, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Abdullah International Medical Research Center, Riyadh, Saudi Arabia0Division of Neurology, Department of Medicine, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi ArabiaBackground: Stroke is a medical condition that leads to major disability and mortality worldwide. Some evidence suggests that weather and seasonal variations could have an impact on stroke incidence and outcome. However, the current evidence is inconclusive. Therefore, this study examines the seasonal variations and meteorological influences on stroke incidence and outcome in the largest city in Saudi Arabia.Methods: From February 2016 to July 2019, we retrospectively reviewed data from all patients with acute ischemic (AIS) or hemorrhagic stroke (HS) admitted to the stroke unit in a tertiary academic center in Saudi Arabia. The corresponding daily meteorological data were obtained for the same period. We considered the months from November to March as the cold season and April to October as the hot season.Results: The final cohort included 1,271 stroke patients; 60.89% (n = 774) cases occurred in the hot season, while 39.1% (n = 497) in the cold season. Males accounted for 69.6% (n = 884) of the cases. The proportion of ischemic stroke was 83.2% [hot season 83.9% (n = 649) vs. cold season 82.3% (n = 409)]. We found no statistically significant difference between seasons (hot or cold) in stroke incidence, severity [National Institutes of Health Stroke Scale (NIHSS)], hospital course (pneumonia, thromboembolism, intensive care stay, or length of stay), or outcome [modified Rankin scale (mRS) on discharge and death].Conclusions: In Riyadh, Saudi Arabia, our study found no impact of weather or seasonal variations on stroke incidence, hospital course, or outcomes. However, our findings warrant further research in different country regions.https://www.frontiersin.org/articles/10.3389/fneur.2021.707420/fullischemic strokehemorrhagic strokeweatherrisk factorsSaudi Arabia
spellingShingle Saeed A. M. Alghamdi
Saeed A. M. Alghamdi
Saeed A. M. Alghamdi
Mohammed A. Aldriweesh
Mohammed A. Aldriweesh
Bayan A. Al Bdah
Muath A. Alhasson
Sultan A. Alsaif
Waleed A. Alluhidan
Faisal M. Almutairi
Faisal M. Almutairi
Mohammed A. Alskaini
Naser Alotaibi
Naser Alotaibi
Naser Alotaibi
Ali M. Al Khathaami
Ali M. Al Khathaami
Ali M. Al Khathaami
Stroke Seasonality and Weather Association in a Middle East Country: A Single Tertiary Center Experience
Frontiers in Neurology
ischemic stroke
hemorrhagic stroke
weather
risk factors
Saudi Arabia
title Stroke Seasonality and Weather Association in a Middle East Country: A Single Tertiary Center Experience
title_full Stroke Seasonality and Weather Association in a Middle East Country: A Single Tertiary Center Experience
title_fullStr Stroke Seasonality and Weather Association in a Middle East Country: A Single Tertiary Center Experience
title_full_unstemmed Stroke Seasonality and Weather Association in a Middle East Country: A Single Tertiary Center Experience
title_short Stroke Seasonality and Weather Association in a Middle East Country: A Single Tertiary Center Experience
title_sort stroke seasonality and weather association in a middle east country a single tertiary center experience
topic ischemic stroke
hemorrhagic stroke
weather
risk factors
Saudi Arabia
url https://www.frontiersin.org/articles/10.3389/fneur.2021.707420/full
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