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出血性天气:环境变化与颅内动脉瘤破裂的关联。

The bleeding weather: association of environmental changes with intracranial aneurysms' rupture.

作者信息

Faropoulos Konstantinos, Kyriakou Georgios, Kafritsa Athina, Papavasilopoulou Angeliki, Grzeczinski Andreas, Artemiadis Artemios

机构信息

Department of Neurosurgery, Nicosia General Hospital (SHSO), 2029, Nicosia, Cyprus.

Medical School, University of Nicosia, Nicosia, Cyprus.

出版信息

Acta Neurochir (Wien). 2025 Mar 22;167(1):86. doi: 10.1007/s00701-025-06494-8.

Abstract

BACKGROUND

Various studies have attempted to link aneurysmal subarachnoid hemorrhage (aSAH) with environmental factors, yielding inconsistent results.

METHODS

We retrospectively collected clinical and demographic data from all patients who presented to our hospital with aSAH between January 1st, 2015, and December 31st, 2021.

RESULTS

Our study found a significant variation in the occurrence of aneurysm ruptures based on the day of the week, with more ruptures occurring on Mondays compared to Fridays. Additionally, we discovered that the amount of dust in the air prior to the ictus influenced the severity of the aSAH. In contrast, other environmental parameters such as atmospheric pressure, temperature, humidity, rain, wind speed, and cloud cover did not significantly impact the prevalence or severity of aSAH.

CONCLUSIONS

To our knowledge, this is the first study to associate the severity of aSAH with atmospheric dust levels. Another key finding is the increased incidence of aneurysm ruptures on Mondays compared to Fridays.

摘要

背景

多项研究试图将动脉瘤性蛛网膜下腔出血(aSAH)与环境因素联系起来,但结果并不一致。

方法

我们回顾性收集了2015年1月1日至2021年12月31日期间在我院就诊的所有aSAH患者的临床和人口统计学数据。

结果

我们的研究发现,根据一周中的日期,动脉瘤破裂的发生率存在显著差异,与周五相比,周一发生的破裂更多。此外,我们发现发作前空气中的灰尘量会影响aSAH的严重程度。相比之下,其他环境参数,如大气压力、温度、湿度、降雨、风速和云量,对aSAH的患病率或严重程度没有显著影响。

结论

据我们所知,这是第一项将aSAH的严重程度与大气灰尘水平联系起来的研究。另一个关键发现是,与周五相比,周一动脉瘤破裂的发生率增加。

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Oceanic Meteorological Conditions Influence Incidence of Aneurysmal Subarachnoid Hemorrhage.海洋气象条件影响动脉瘤性蛛网膜下腔出血的发病率。
J Stroke Cerebrovasc Dis. 2017 Jul;26(7):1573-1581. doi: 10.1016/j.jstrokecerebrovasdis.2017.02.031. Epub 2017 Mar 15.

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