Stroke:动脉瘤性蛛网膜下腔出血的发生率和结局

2020-12-07 MedSci原创 MedSci原创

近日,心血管疾病领域权威杂志Stroke上发表了一篇研究文章,这项研究旨在评估全国范围内动脉瘤性蛛网膜下腔出血(aSAH)的发生率和结局。瑞士蛛网膜下腔出血研究(SOS)于2008年启动,该研究为了解

近日,血管疾病领域权威杂志Stroke上发表了一篇研究文章,这项研究旨在评估全国范围内动脉瘤性蛛网膜下腔出血(aSAH)的发生率和结局。瑞士蛛网膜下腔出血研究(SOS)于2008年启动,该研究为了解全国范围的数据提供了独特的机会。

在2009年1月1日至2014年12月31日期间,研究人员将瑞士全国范围内入院的所有确诊为动脉瘤性蛛网膜下腔出血的患者纳入前瞻性登记中心。根据时间匹配的人群数据计算发病率。研究人员记录了入院时的参数,以及出院时和1年后的患者结局。

研究人员记录了1787例连续就诊患者的数据。在瑞士,动脉瘤性蛛网膜下腔出血的发生率为每10万人每年3.7人。女性患者人数为1170人(65.5%)。根据改良的Rankin量表(0–2),在1年时的随访率为91.3%,1042名患者(58.8%)享有独立生活的能力。

大约每10名患者中有1名生活不能自理(改良的Rankin量表得分为3-5;n=185;10.4%)。出院时的病死率为20.1%(n=356),一年后为22.1%(n=391)。

由此可见,瑞士目前的动脉瘤性蛛网膜下腔出血的发生率低于预期,这表明颅内动脉瘤破裂住院率下降的全球趋势。

原始出处:

Bawarjan Schatlo,et al.Incidence and Outcome of Aneurysmal Subarachnoid Hemorrhage
The Swiss Study on Subarachnoid Hemorrhage (Swiss SOS).stroke.2020.https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.032144

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    2020-12-07 ms6000001674035411

    学习中

    0

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    2020-12-07 一叶,一菩提

    好的

    0

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