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The impact of previ...
The impact of previous health on the mortality after aneurysmal subarachnoid hemorrhage: analysis of a prospective Swedish multicenter study
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- Ronne Engström, Elisabeth (författare)
- Uppsala University,Uppsala universitet,Neurokirurgi,Uppsala Univ, Sweden
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- Baldvinsdóttir, Bryndís (författare)
- Lund University,Lunds universitet,Neurokirurgi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurosurgery,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Aineskog, Helena (författare)
- Umeå University,Umeå universitet,Neurovetenskaper,Umeå Univ, Neurosurg, Clin Sci, Umeå, Sweden.
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visa fler...
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- Alpkvist, P. (författare)
- Karolinska Institute
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- Enblad, Per (författare)
- Uppsala University,Uppsala universitet,Neurokirurgi,Uppsala Univ, Sweden
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- Eneling, Johanna (författare)
- Linköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Neurokirurgiska kliniken US
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- Fridriksson, Steen (författare)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Neurosurgery, Clinical Neuroscience, Gothenburg University, Gothenburg, Sweden,Gothenburg Univ, Neurosurg, Clin Neurosci, Gothenburg, Sweden.
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- Hillman, Jan (författare)
- Linköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Neurokirurgiska kliniken US
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- Klurfan, Paula (författare)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Neurosurgery, Clinical Neuroscience, Gothenburg University, Gothenburg, Sweden,Gothenburg Univ, Neurosurg, Clin Neurosci, Gothenburg, Sweden.
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- Kronvall, Erik (författare)
- Lund University,Lunds universitet,Neurokirurgi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurosurgery,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Lindvall, Peter (författare)
- Umeå University,Umeå universitet,Neurovetenskaper,Umeå Univ, Neurosurg, Clin Sci, Umeå, Sweden.
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- Von Vogelsang, A. C. (författare)
- Karolinska Institutet,Karolinska Institute
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- Nilsson, Ola G. (författare)
- Lund University,Lunds universitet,Neurokirurgi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurosurgery,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Svensson, M. (författare)
- Karolinska Institute
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(creator_code:org_t)
- 2023-01-12
- 2023
- Engelska.
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Ingår i: ACTA NEUROCHIRURGICA. - : Springer Science and Business Media LLC. - 0001-6268 .- 0942-0940. ; :165
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Abstract
Ämnesord
Stäng
- Purpose There is an an increasing awareness of the importance of health and lifestyle for stroke diseases like spontaneous subarachnoid hemorrhage (SAH). However, the importance of pre-existing medical conditions for clinical course and mortality after SAH has not been studied. The aim of the present study was to identify pre-existing conditions contributing to mortality after SAH.Methods Data were extracted from a Swedish national prospective study on patients with SAH. Variables were defined for age, sex, body mass index (BMI), clinical condition at admission, and for 10 pre-existing medical conditions. Models predicting mortality in three time intervals with all possible subsets of these variables were generated, compared and selected using Akaike's information criterion.Results 1155 patients with ruptured aneurysms were included. The mortality within 1 week was 7.6%, 1 month 14.3%, and 1 year 18.7%. The most common pre-existing medical conditions were smoking (57.6%) and hypertension (38.7%). The model's best predicting mortality within 1 week and from 1 week to 1 month included only the level of consciousness at admission and age, and these two variables were present in all the models among the top 200 in Akaike score for each time period. The most predictive model for mortality between 1 month and 1 year added previous stroke, diabetes, psychiatric disease, and BMI as predictors.Conclusion Mortality within the first month was best predicted simply by initial level of consciousness and age, while mortality within from 1 month to 1 year was significantly influenced by pre-existing medical conditions.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Spontaneous subarachnoid hemorrhage
- Mortality
- Previous health
- Medical
- conditions
- National prospective study
- survivors
- scale
- risk
- Neurosciences & Neurology
- Surgery
- Medical conditions
- Medical conditions
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Ronne Engström, ...
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Baldvinsdóttir, ...
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Aineskog, Helena
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Alpkvist, P.
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Enblad, Per
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Eneling, Johanna
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visa fler...
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Fridriksson, Ste ...
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Hillman, Jan
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Klurfan, Paula
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Kronvall, Erik
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Lindvall, Peter
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Von Vogelsang, A ...
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Nilsson, Ola G.
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Svensson, M.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Neurologi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
- Artiklar i publikationen
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ACTA NEUROCHIRUR ...
- Av lärosätet
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Göteborgs universitet
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Umeå universitet
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Uppsala universitet
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Linköpings universitet
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Lunds universitet
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Karolinska Institutet