Incidence and case fatality of subarachnoid haemorrhage in Northern Greece

the Evros Registry of Subarachnoid Haemorrhage

K. Vadikolias, Georgios Tsivgoulis, I. Heliopoulos, M. Papaioakim, C. Aggelopoulou, A. Serdari, T. Birbilis, C. Piperidou

Research output: Contribution to journalArticle

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Abstract

Epidemiological data on subarachnoid haemorrhage incidence and case-fatality rates are scarce in the south-eastern Mediterranean region. We conducted a population-based study in Evros Province, located in north-eastern Greece, to determine subarachnoid haemorrhage incidence over a 5-year period (2001-2005). Evros Province has a well-defined, largely homogeneous population with healthcare organised around a single tertiary-care University Hospital. We organised a prospective computerised registry of permanent Evros residents admitted or transferred to our hospital with a diagnosis of subarachnoid haemorrhage. Standard World Health Organization definitions and overlapping case-finding methods were used to identify all cases of first ever in a lifetime subarachnoid haemorrhage in all age groups, occurring during the study period. The diagnosis was confirmed by computed tomography scan in all hospitalised cases. Sudden deaths attributable to subarachnoid haemorrhage were systematically recorded province-wide by our forensic department and are included in the study. During the 5-year period, 51 cases of subarachnoid haemorrhage were recorded (28 men, 23 women; mean age 59±17 years). The crude annual incidence rates were 8·3/100 000 persons (95% confidence interval: 5·5-12·0) for men, 7·5/100 000 (4·8-11·3) for women and 7·9/100 000 (5·9-10·4) for all subjects. The standardised incidence rates for groups aged 45-84 years in the European population were 9·3/100 000 (5·8-12·8) for men, 6·5/100 000 (3·7-9·4) for women and 7·9/100 000 (5·7-10·2). The 28-day case-fatality rates for men, women and all subjects were 36% (21-54%), 35% (19-55%) and 35% (24-49%), respectively. The incidence and case-fatality rate of subarachnoid haemorrhage haemorrhage in Greece appear to be similar to other developed countries. No gender differences in subarachnoid haemorrhage incidence and case-fatality rate were documented.

Original languageEnglish (US)
Pages (from-to)322-327
Number of pages6
JournalInternational Journal of Stroke
Volume4
Issue number5
DOIs
StatePublished - Oct 1 2009
Externally publishedYes

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Greece
Subarachnoid Hemorrhage
Registries
Incidence
Mortality
Population
Mediterranean Region
Tertiary Healthcare
Sudden Death
Developed Countries
Age Groups
Tomography
Confidence Intervals
Hemorrhage
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Neurology

Cite this

Incidence and case fatality of subarachnoid haemorrhage in Northern Greece : the Evros Registry of Subarachnoid Haemorrhage. / Vadikolias, K.; Tsivgoulis, Georgios; Heliopoulos, I.; Papaioakim, M.; Aggelopoulou, C.; Serdari, A.; Birbilis, T.; Piperidou, C.

In: International Journal of Stroke, Vol. 4, No. 5, 01.10.2009, p. 322-327.

Research output: Contribution to journalArticle

Vadikolias, K. ; Tsivgoulis, Georgios ; Heliopoulos, I. ; Papaioakim, M. ; Aggelopoulou, C. ; Serdari, A. ; Birbilis, T. ; Piperidou, C. / Incidence and case fatality of subarachnoid haemorrhage in Northern Greece : the Evros Registry of Subarachnoid Haemorrhage. In: International Journal of Stroke. 2009 ; Vol. 4, No. 5. pp. 322-327.
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