Chan Vivien, Lindsay Patrice, McQuiggan Jessica, Zagorski Brandon, Hill Michael D, O'Kelly Cian
From the Department of Neurosurgery, University of Alberta, Edmonton, Canada (V.C., C.O.).
Heart and Stroke Foundation, Toronto, Canada (P.L., J.M.).
Stroke. 2019 Jan;50(1):181-184. doi: 10.1161/STROKEAHA.118.022332. Epub 2018 Nov 21.
Background and Purpose- The purpose of this study was to assess recent trends in the admission and mortality rates for subarachnoid hemorrhage in Canada. Methods- This retrospective cross-sectional study was based on data retrieved from the Canadian Institute for Health Information for all patients diagnosed with subarachnoid hemorrhage in Canada between 2004 and 2015. Adjusted admission rate, in-hospital mortality rates, and discharge disposition were calculated. Results- A total of 19 765 patients were diagnosed with subarachnoid hemorrhage between 2004 and 2015. The mean age was 58.1 years, and 40.3% were men. The annual hospitalization rate was 6.34 per 100 000 person-years, declining by -0.67% annually. In-hospital mortality rate was 21.5%. Conclusions- The Canadian subarachnoid hemorrhage admission and mortality rates are lower than previously reported, with a declining trend.
背景与目的——本研究旨在评估加拿大蛛网膜下腔出血的入院率和死亡率的近期趋势。方法——这项回顾性横断面研究基于从加拿大卫生信息研究所检索到的数据,这些数据来自2004年至2015年期间在加拿大被诊断为蛛网膜下腔出血的所有患者。计算调整后的入院率、住院死亡率和出院处置情况。结果——2004年至2015年期间,共有19765例患者被诊断为蛛网膜下腔出血。平均年龄为58.1岁,男性占40.3%。年住院率为每10万人年6.34例,每年下降-0.67%。住院死亡率为21.5%。结论——加拿大蛛网膜下腔出血的入院率和死亡率低于先前报告的水平,且呈下降趋势。