Meteorological Variables Associated with Subarachnoid Hemorrhage: A Single Center Study
Spontaneous subarachnoid hemorrhage (SAH) can occur unexpectedly and independently of the classic risk factors. Several different factors could affect intracranial aneurysm (IA) rupture, such as morphological and hemodynamic factors. The aim of this study was to establish the potential associatio...
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Format: | Article |
Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2022-01-01
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Series: | Acta Clinica Croatica |
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Online Access: | https://hrcak.srce.hr/file/435557 |
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author | Ante Rotim Marina Raguž Domagoj Gajski Filip Vrban Mia Jurilj Darko Orešković Josip Hrabar Vladimir Kalousek Tomislav Sajko Krešimir Rotim |
author_facet | Ante Rotim Marina Raguž Domagoj Gajski Filip Vrban Mia Jurilj Darko Orešković Josip Hrabar Vladimir Kalousek Tomislav Sajko Krešimir Rotim |
author_sort | Ante Rotim |
collection | DOAJ |
description | Spontaneous subarachnoid hemorrhage (SAH) can occur unexpectedly and independently
of the classic risk factors. Several different factors could affect intracranial aneurysm (IA)
rupture, such as morphological and hemodynamic factors. The aim of this study was to establish the
potential association of meteorological data such as temperature, atmospheric pressure, and humidity,
and the onset of clinical symptoms preceding hospital admission of patients with acute SAH due to
IA rupture. This retrospective study included 130 consecutive patients admitted for non-traumatic
SAH with a determinable onset of SAH symptoms. The effects of meteorological parameters of atmospheric
pressure, ambient temperature, and relative air humidity on the day of acute SAH onset and
24 hours prior to the onset of symptoms were recorded and analyzed in each patient. Spearman rank
correlation analysis was used to assess the risks of incident SAH on the basis of daily meteorological
data. Seasonal incidence of acute SAH showed the peak incidence in winter and a trough in summer,
with monthly incidence peak in January and December. The circadian rhythm analysis showed the
peak incidence of SAH in the forenoon, followed by the evening. Acute SAH incidence showed moderate
positive association with daily atmospheric pressure (p<0.05), while no association was found
with ambient temperature and relative air humidity. Our results suggested no significant association of
changes in ambient temperature and relative humidity with the risk of SAH. Increases in atmospheric
pressure were weakly associated with a higher SAH risk. Additional studies are needed to establish
in detail both meteorological and morphological factors important to predict IA rupture and SAH. |
first_indexed | 2024-04-24T09:07:38Z |
format | Article |
id | doaj.art-dafb65ddee154c9a84e2b56260505a24 |
institution | Directory Open Access Journal |
issn | 0353-9466 1333-9451 |
language | English |
last_indexed | 2024-04-24T09:07:38Z |
publishDate | 2022-01-01 |
publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
record_format | Article |
series | Acta Clinica Croatica |
spelling | doaj.art-dafb65ddee154c9a84e2b56260505a242024-04-15T18:31:08ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.467368010.20471/acc.2022.61.04.14Meteorological Variables Associated with Subarachnoid Hemorrhage: A Single Center StudyAnte Rotim0Marina Raguž1Domagoj Gajski2Filip Vrban3Mia Jurilj4Darko Orešković5Josip Hrabar6Vladimir Kalousek7Tomislav Sajko8Krešimir Rotim9Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Velika Gorica University of Applied Sciences, Velika Gorica, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, CroatiaDepartment of Neurosurgery, Dubrava University Hospital, Zagreb, Croatia; Catholic University of Croatia, School of Medicine, Zagreb, CroatiaDepartment of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, CroatiaDepartment of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Neurosurgery, Dubrava University Hospital, Zagreb, CroatiaDepartment of Radiology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Radiology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia; University of Applied Health Sciences, Zagreb, CroatiaSpontaneous subarachnoid hemorrhage (SAH) can occur unexpectedly and independently of the classic risk factors. Several different factors could affect intracranial aneurysm (IA) rupture, such as morphological and hemodynamic factors. The aim of this study was to establish the potential association of meteorological data such as temperature, atmospheric pressure, and humidity, and the onset of clinical symptoms preceding hospital admission of patients with acute SAH due to IA rupture. This retrospective study included 130 consecutive patients admitted for non-traumatic SAH with a determinable onset of SAH symptoms. The effects of meteorological parameters of atmospheric pressure, ambient temperature, and relative air humidity on the day of acute SAH onset and 24 hours prior to the onset of symptoms were recorded and analyzed in each patient. Spearman rank correlation analysis was used to assess the risks of incident SAH on the basis of daily meteorological data. Seasonal incidence of acute SAH showed the peak incidence in winter and a trough in summer, with monthly incidence peak in January and December. The circadian rhythm analysis showed the peak incidence of SAH in the forenoon, followed by the evening. Acute SAH incidence showed moderate positive association with daily atmospheric pressure (p<0.05), while no association was found with ambient temperature and relative air humidity. Our results suggested no significant association of changes in ambient temperature and relative humidity with the risk of SAH. Increases in atmospheric pressure were weakly associated with a higher SAH risk. Additional studies are needed to establish in detail both meteorological and morphological factors important to predict IA rupture and SAH.https://hrcak.srce.hr/file/435557Meteorological variablesSubarachnoid hemorrhagesIntracranial aneurysms |
spellingShingle | Ante Rotim Marina Raguž Domagoj Gajski Filip Vrban Mia Jurilj Darko Orešković Josip Hrabar Vladimir Kalousek Tomislav Sajko Krešimir Rotim Meteorological Variables Associated with Subarachnoid Hemorrhage: A Single Center Study Acta Clinica Croatica Meteorological variables Subarachnoid hemorrhages Intracranial aneurysms |
title | Meteorological Variables Associated with Subarachnoid Hemorrhage: A Single Center Study |
title_full | Meteorological Variables Associated with Subarachnoid Hemorrhage: A Single Center Study |
title_fullStr | Meteorological Variables Associated with Subarachnoid Hemorrhage: A Single Center Study |
title_full_unstemmed | Meteorological Variables Associated with Subarachnoid Hemorrhage: A Single Center Study |
title_short | Meteorological Variables Associated with Subarachnoid Hemorrhage: A Single Center Study |
title_sort | meteorological variables associated with subarachnoid hemorrhage a single center study |
topic | Meteorological variables Subarachnoid hemorrhages Intracranial aneurysms |
url | https://hrcak.srce.hr/file/435557 |
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