Donate Help Contact The AHA Sign In Home
American Heart Association
Stroke
Search: search_blue_button Advanced Search
« Previous Article | Table of Contents | Next Article »
Stroke. 1989;20:718-724

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ingall, T. J.
Right arrow Articles by O'Fallon, W. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ingall, T. J.
Right arrow Articles by O'Fallon, W. M.

Stroke, Vol 20, 718-724, Copyright © 1989 by American Heart Association

ARTICLES

Has there been a decline in subarachnoid hemorrhage mortality?

TJ Ingall, JP Whisnant, DO Wiebers and WM O'Fallon
Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.

We studied subarachnoid hemorrhage in the population of Rochester, Minnesota, for the 40-year period from 1945 through 1984. The average annual incidence rate of subarachnoid hemorrhage in Rochester has remained constant at approximately 11 per 100,000 population. Age- specific incidence rates increased with age. However, the average annual mortality rate for subarachnoid hemorrhage in Rochester has shown a decreasing trend, from 6.8 per 100,000 population in 1955-1964 to 4.3 in 1975-1984. It is likely that this is due to a decrease in case-fatality rates from 57% in 1945-1974 to 42% in 1975-1984 (p = 0.10). This decreasing trend was also evident in annual mortality rates from subarachnoid hemorrhage for US white men and women. The reason for the improved case-fatality rate is unclear, but it may be related to changes in management. The interval from onset of subarachnoid hemorrhage to surgery decreased from a median of 12 days in 1975-1979 to 2 days in 1980-1984, and of those who survived to receive medical attention, more patients received some form of medical treatment in 1980-1984. Whether either or both of these changes have led to the decrease in the case-fatality rate is uncertain.


This article has been cited by other articles:


Home page
 StrokeHome page
J. B. Bederson, E. S. Connolly Jr, H. H. Batjer, R. G. Dacey, J. E. Dion, M. N. Diringer, J. E. Duldner Jr, R. E. Harbaugh, A. B. Patel, and R. H. Rosenwasser
Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Statement for Healthcare Professionals From a Special Writing Group of the Stroke Council, American Heart Association
Stroke, March 1, 2009; 40(3): 994 - 1025.
[Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
D. San Millan Ruiz, H. Yilmaz, A.R. Dehdashti, A. Alimenti, N. de Tribolet, and D.A. Rufenacht
The Perianeurysmal Environment: Influence on Saccular Aneurysm Shape and Rupture
AJNR Am. J. Neuroradiol., March 1, 2006; 27(3): 504 - 512.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
V. L. Feigin, G. J.E. Rinkel, C. M.M. Lawes, A. Algra, D. A. Bennett, J. van Gijn, and C. S. Anderson
Risk Factors for Subarachnoid Hemorrhage: An Updated Systematic Review of Epidemiological Studies
Stroke, December 1, 2005; 36(12): 2773 - 2780.
[Abstract] [Full Text] [PDF]

Home page
 Mayo Clin Proc.Home page
E. F. M. Wijdicks, D. F. Kallmes, E. M. Manno, J. R. Fulgham, and D. G. Piepgras
Subarachnoid Hemorrhage: Neurointensive Care and Aneurysm Repair
Mayo Clin. Proc., April 1, 2005; 80(4): 550 - 559.
[Abstract] [PDF]

Home page
 StrokeHome page
B. Stegmayr, M. Eriksson, and K. Asplund
Declining Mortality From Subarachnoid Hemorrhage: Changes in Incidence and Case Fatality From 1985 Through 2000
Stroke, September 1, 2004; 35(9): 2059 - 2063.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
N. S. Bardach, S. Zhao, D. R. Gress, M. T. Lawton, S. C. Johnston, and W. S. Fisher III
Association Between Subarachnoid Hemorrhage Outcomes and Number of Cases Treated at California Hospitals * Editorial Comment
Stroke, July 1, 2002; 33(7): 1851 - 1856.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
B. M. Kissela, L. Sauerbeck, D. Woo, J. Khoury, J. Carrozzella, A. Pancioli, E. Jauch, C. J. Moomaw, R. Shukla, J. Gebel, et al.
Subarachnoid Hemorrhage: A Preventable Disease With a Heritable Component
Stroke, May 1, 2002; 33(5): 1321 - 1326.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
D. Krex, A. Ziegler, H. K. Schackert, and G. Schackert
Lack of Association Between Endoglin Intron 7 Insertion Polymorphism and Intracranial Aneurysms in a White Population: Evidence of Racial/Ethnic Differences
Stroke, November 1, 2001; 32(11): 2689 - 2694.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
N. Mavaddat and B. J. Sahakian
NEUROPSYCHOLOGICAL SEQUELAE OF SUBARACHNOID HEMORRHAGE AND ITS TREATMENT.: By B. O. Hitter. 2000. New York: Springer-Verlag. Price $78. Pp. 200. ISBN 3-21183-442-7.
Brain, August 1, 2001; 124(8): 1671 - 1672.
[Full Text] [PDF]

Home page
 StrokeHome page
T. Inagawa
Trends in Incidence and Case Fatality Rates of Aneurysmal Subarachnoid Hemorrhage in Izumo City, Japan, Between 1980-1989 and 1990-1998
Stroke, July 1, 2001; 32(7): 1499 - 1507.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
M. Nakajima, I. Date, K. Takahashi, Y. Ninomiya, S. Asari, and T. Ohmoto
Effects of Aging on Cerebral Vasospasm After Subarachnoid Hemorrhage in Rabbits
Stroke, March 1, 2001; 32(3): 620 - 628.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
H. Butzkueven, A. H. Evans, A. Pitman, C. Leopold, D. J. Jolley, A. H. Kaye, C. J. Kilpatrick, and S. M. Davis
Onset seizures independently predict poor outcome after subarachnoid hemorrhage
Neurology, November 14, 2000; 55(9): 1315 - 1320.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
T. Ingall, K. Asplund, M. Mahonen, and R. Bonita
A Multinational Comparison of Subarachnoid Hemorrhage Epidemiology in the WHO MONICA Stroke Study
Stroke, May 1, 2000; 31(5): 1054 - 1061.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
C. L Turner and P. J Kirkpatrick
Detection of intracranial aneurysms with unenhanced and echo contrast enhanced transcranial power Doppler
J. Neurol. Neurosurg. Psychiatry, April 1, 2000; 68(4): 489 - 495.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
Y. Yoshimoto and S. Wakai
Cost-Effectiveness Analysis of Screening for Asymptomatic, Unruptured Intracranial Aneurysms : A Mathematical Model
Stroke, August 1, 1999; 30(8): 1621 - 1627.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
The International Study of Unruptured Intracranial
Unruptured Intracranial Aneurysms -- Risk of Rupture and Risks of Surgical Intervention
N. Engl. J. Med., December 10, 1998; 339(24): 1725 - 1733.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
A. Hartmann, H. Mast, J. P. Mohr, H.-C. Koennecke, A. Osipov, J. Pile-Spellman, D. H. Duong, and W. L. Young
Morbidity of Intracranial Hemorrhage in Patients With Cerebral Arteriovenous Malformation
Stroke, May 1, 1998; 29(5): 931 - 934.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
A. Ronkainen, H. Miettinen, K. Karkola, S. Papinaho, R. Vanninen, M. Puranen, and J. Hernesniemi
Risk of Harboring an Unruptured Intracranial Aneurysm
Stroke, February 1, 1998; 29(2): 359 - 362.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
K. Yamashita, S. Kashiwagi, S. Kato, T. Takasago, and H. Ito
Cerebral Aneurysms in the Elderly in Yamaguchi, Japan : Analysis of the Yamaguchi Data Bank of Cerebral Aneurysm From 1985 to 1995
Stroke, October 1, 1997; 28(10): 1926 - 1931.
[Abstract] [Full Text]

Home page
 StrokeHome page
J. W. Hop, G. J.E. Rinkel, A. Algra, and J. van Gijn
Case-Fatality Rates and Functional Outcome After Subarachnoid Hemorrhage : A Systematic Review
Stroke, March 1, 1997; 28(3): 660 - 664.
[Abstract] [Full Text]

Home page
 NEJMHome page
W. I. Schievink
Intracranial Aneurysms
N. Engl. J. Med., January 2, 1997; 336(1): 28 - 40.
[Full Text] [PDF]

Home page
 StrokeHome page
F.H.H. Linn, G.J.E. Rinkel, A. Algra, and J. van Gijn
Incidence of Subarachnoid Hemorrhage : Role of Region, Year, and Rate of Computed Tomography: A Meta-Analysis
Stroke, April 1, 1996; 27(4): 625 - 629.
[Abstract] [Full Text]

Home page
 StrokeHome page
L. L. Teunissen, G. J.E. Rinkel, A. Algra, and J. van Gijn
Risk Factors for Subarachnoid Hemorrhage : A Systematic Review
Stroke, March 1, 1996; 27(3): 544 - 549.
[Abstract] [Full Text]

Home page
 StrokeHome page
J. B. Stachniak, A. J. Layon, A. L. Day, and T. J. Gallagher
Craniotomy for Intracranial Aneurysm and Subarachnoid Hemorrhage : Is Course, Cost, or Outcome Affected by Age?
Stroke, February 1, 1996; 27(2): 276 - 281.
[Abstract] [Full Text]

Home page
 StrokeHome page
J.S.P. van den Berg, M. Limburg, and R.C.M. Hennekam
Is Marfan Syndrome Associated With Symptomatic Intracranial Aneurysms?
Stroke, January 1, 1996; 27(1): 10 - 12.
[Abstract] [Full Text]

Home page
 StrokeHome page
J.E.C. Bromberg, G.J.E. Rinkel, A. Algra, M. Limburg, and J. van Gijn
Outcome in Familial Subarachnoid Hemorrhage
Stroke, June 1, 1995; 26(6): 961 - 963.
[Abstract] [Full Text]

Home page
 StrokeHome page
T. Inagawa, Y. Tokuda, N. Ohbayashi, M. Takaya, and K. Moritake
Study of Aneurysmal Subarachnoid Hemorrhage in Izumo City, Japan
Stroke, May 1, 1995; 26(5): 761 - 766.
[Abstract] [Full Text]

Home page
 J Child NeurolHome page
J. Broderick, G. T. Talbot, E. Prenger, A. Leach, and T. Brott
Stroke in Children Within a Major Metropolitan Area: The Surprising Importance of Intracerebral Hemorrhage
J Child Neurol, July 1, 1993; 8(3): 250 - 255.
[Abstract] [PDF]


Stroke Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search
Copyright © 1989 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited.