Epidemiological and Clinical Characteristics of Non-Traumatic Subarachnoid Hemorrhage
Background: Subarachnoid hemorrhage (SAH) is associated with high mortality and morbidity. Considering geographical differences in reported epidemiology and lack of data in Isfahan, the aim of the present study was to assess the natural history of non-traumatic SAH. Methods: In a retrospective stu...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Isfahan University of Medical Sciences
2013-02-01
|
| Series: | مجله دانشکده پزشکی اصفهان |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/2585 |
| _version_ | 1797715926362095616 |
|---|---|
| author | Hemaseh Tavahen Majid Ghasemi Rasul Norouzi Hajar Memar Mustafa Sharifkhah |
| author_facet | Hemaseh Tavahen Majid Ghasemi Rasul Norouzi Hajar Memar Mustafa Sharifkhah |
| author_sort | Hemaseh Tavahen |
| collection | DOAJ |
| description | Background: Subarachnoid hemorrhage (SAH) is associated with high mortality and morbidity. Considering geographical differences in reported epidemiology and lack of data in Isfahan, the aim of the present study was to assess the natural history of non-traumatic SAH.
Methods: In a retrospective study, we reviewed the medical records of all patients who were hospitalized by the definite diagnosis of non-traumatic SAH in Alzahra and Kashani Hospitals (Isfahan, Iran) during 2011-12. A questionnaire containing validated items about demographic, clinical, and epidemiological variables was used to collect data.
Findings: A total of 190 cases of non-traumatic SAH were identified. Half of the patients were female. History of vomiting, headaches, and loss of consciousness were the most frequent warning symptoms in 47.4%, 18.9%, and 15.8% of the patients, respectively. The most frequent risk factors were hypertension (43.7%), smoking (19.5%) and diabetes (9.5%). The mortality rate was 34.7% and only 4.7% of survivors were discharged while requiring assistance with activities of daily living.
Conclusion: Treatment of hypertension and diabetes together with cessation of smoking can reduce the risk of SAH.
Keywords: Subarachnoid hemorrhage, Epidemiology, Stroke |
| first_indexed | 2024-03-12T08:14:02Z |
| format | Article |
| id | doaj.art-8f7d294e168749de8ef87fe6bc188017 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T08:14:02Z |
| publishDate | 2013-02-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-8f7d294e168749de8ef87fe6bc1880172023-09-02T19:00:03ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2013-02-0130219229923091239Epidemiological and Clinical Characteristics of Non-Traumatic Subarachnoid HemorrhageHemaseh Tavahen0Majid Ghasemi1Rasul Norouzi2Hajar Memar3Mustafa Sharifkhah4General Practitioner, Isfahan Neurosciences Research Center , Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranNeurology Assistant, Isfahan Neurosciences Research Center, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, IranIsfahan Neurosciences Research Center, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground: Subarachnoid hemorrhage (SAH) is associated with high mortality and morbidity. Considering geographical differences in reported epidemiology and lack of data in Isfahan, the aim of the present study was to assess the natural history of non-traumatic SAH. Methods: In a retrospective study, we reviewed the medical records of all patients who were hospitalized by the definite diagnosis of non-traumatic SAH in Alzahra and Kashani Hospitals (Isfahan, Iran) during 2011-12. A questionnaire containing validated items about demographic, clinical, and epidemiological variables was used to collect data. Findings: A total of 190 cases of non-traumatic SAH were identified. Half of the patients were female. History of vomiting, headaches, and loss of consciousness were the most frequent warning symptoms in 47.4%, 18.9%, and 15.8% of the patients, respectively. The most frequent risk factors were hypertension (43.7%), smoking (19.5%) and diabetes (9.5%). The mortality rate was 34.7% and only 4.7% of survivors were discharged while requiring assistance with activities of daily living. Conclusion: Treatment of hypertension and diabetes together with cessation of smoking can reduce the risk of SAH. Keywords: Subarachnoid hemorrhage, Epidemiology, Strokehttp://jims.mui.ac.ir/index.php/jims/article/view/2585 |
| spellingShingle | Hemaseh Tavahen Majid Ghasemi Rasul Norouzi Hajar Memar Mustafa Sharifkhah Epidemiological and Clinical Characteristics of Non-Traumatic Subarachnoid Hemorrhage مجله دانشکده پزشکی اصفهان |
| title | Epidemiological and Clinical Characteristics of Non-Traumatic Subarachnoid Hemorrhage |
| title_full | Epidemiological and Clinical Characteristics of Non-Traumatic Subarachnoid Hemorrhage |
| title_fullStr | Epidemiological and Clinical Characteristics of Non-Traumatic Subarachnoid Hemorrhage |
| title_full_unstemmed | Epidemiological and Clinical Characteristics of Non-Traumatic Subarachnoid Hemorrhage |
| title_short | Epidemiological and Clinical Characteristics of Non-Traumatic Subarachnoid Hemorrhage |
| title_sort | epidemiological and clinical characteristics of non traumatic subarachnoid hemorrhage |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/2585 |
| work_keys_str_mv | AT hemasehtavahen epidemiologicalandclinicalcharacteristicsofnontraumaticsubarachnoidhemorrhage AT majidghasemi epidemiologicalandclinicalcharacteristicsofnontraumaticsubarachnoidhemorrhage AT rasulnorouzi epidemiologicalandclinicalcharacteristicsofnontraumaticsubarachnoidhemorrhage AT hajarmemar epidemiologicalandclinicalcharacteristicsofnontraumaticsubarachnoidhemorrhage AT mustafasharifkhah epidemiologicalandclinicalcharacteristicsofnontraumaticsubarachnoidhemorrhage |