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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Main Authors: Ante Rotim, Marina Raguž, Domagoj Gajski, Filip Vrban, Mia Jurilj, Darko Orešković, Josip Hrabar, Vladimir Kalousek, Tomislav Sajko, Krešimir Rotim
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2022-01-01
Series:Acta Clinica Croatica
Subjects:
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.
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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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