Risk factors for subarachnoid haemorrhage: a nationwide cohort of 950 000 adults

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Fältnamn	Indikatorer	Metadata
000		15149naa a2201213 4500
001		oai:DiVA.org:uu-401342
003		SwePub
008		200107s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
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009		oai:DiVA.org:miun-38239
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009		oai:gup.ub.gu.se/284816
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4013422 URI
024	7	a https://doi.org/10.1093/ije/dyz1632 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1624272 URI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-382392 URI
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024	7	a https://lup.lub.lu.se/record/f136e2ca-3618-432e-8a75-37d9c1dc3cb22 URI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1428996592 URI
024	7	a https://gup.ub.gu.se/publication/2848162 URI
040		a (SwePub)uud (SwePub)umud (SwePub)miund (SwePub)hjd (SwePub)lud (SwePub)kid (SwePub)gu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Sundström, Johan,c Professor,d 1971-u Uppsala universitet,Klinisk epidemiologi,George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.,Uppsala University, Uppsala; University of New South Wales, NSW, Sydney, Australia4 aut0 (Swepub:uu)johasund
245	1 0	a Risk factors for subarachnoid haemorrhage :b a nationwide cohort of 950 000 adults
264		c 2019-07-30
264	1	b Oxford University Press,c 2019
338		a print2 rdacarrier
520		a BACKGROUND: Subarachnoid haemorrhage (SAH) is a devastating disease, with high mortality rate and substantial disability among survivors. Its causes are poorly understood. We aimed to investigate risk factors for SAH using a novel nationwide cohort consortium.METHODS: We obtained individual participant data of 949 683 persons (330 334 women) between 25 and 90 years old, with no history of SAH at baseline, from 21 population-based cohorts. Outcomes were obtained from the Swedish Patient and Causes of Death Registries.RESULTS: During 13 704 959 person-years of follow-up, 2659 cases of first-ever fatal or non-fatal SAH occurred, with an age-standardized incidence rate of 9.0 [95% confidence interval (CI) (7.4-10.6)/100 000 person-years] in men and 13.8 [(11.4-16.2)/100 000 person-years] in women. The incidence rate increased exponentially with higher age. In multivariable-adjusted Poisson models, marked sex interactions for current smoking and body mass index (BMI) were observed. Current smoking conferred a rate ratio (RR) of 2.24 (95% CI 1.95-2.57) in women and 1.62 (1.47-1.79) in men. One standard deviation higher BMI was associated with an RR of 0.86 (0.81-0.92) in women and 1.02 (0.96-1.08) in men. Higher blood pressure and lower education level were also associated with higher risk of SAH.CONCLUSIONS: The risk of SAH is 45% higher in women than in men, with substantial sex differences in risk factor strengths. In particular, a markedly stronger adverse effect of smoking in women may motivate targeted public health initiatives.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Lungmedicin och allergi0 (SwePub)302192 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Respiratory Medicine and Allergy0 (SwePub)302192 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
653		a Stroke
653		a cohort study
653		a epidemiology
653		a Lungmedicin
653		a Lung Medicine
653		a cohort study
653		a epidemiology
653		a Stroke
700	1	a Söderholm, Martinu Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups,Department of Clinical Sciences, Lund University , Lund, Sweden4 aut0 (Swepub:lu)med-ms8
700	1	a Söderberg, Stefanu Karolinska Institutet,Umeå University,Umeå universitet,Avdelningen för medicin,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden4 aut0 (Swepub:umu)stso0001
700	1	a Alfredsson, Larsu Karolinska Institutet,Karolinska Institute,Institute of Environmental Medicine, Cardiovascular Epidemiology, Karolinska Institutet , Stockholm, Sweden4 aut
700	1	a Andersson, Martinu Uppsala universitet,Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden,Uppsala University, Uppsala,Geriatrik4 aut0 (Swepub:uu)maing121
700	1	a Bellocco, Rinou Karolinska Institutet,Karolinska Institute,Department of Statistics and Quantitative Methods, University of Milano-Biocca , Milan, Italy; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm, Sweden4 aut
700	1	a Björck, Martinu Uppsala universitet,Kärlkirurgi,Uppsala University, Uppsala4 aut0 (Swepub:uu)mabjo425
700	1	a Broberg, Peru Lund University,Lunds universitet,Medicinsk onkologi,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medical oncology,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Clinical Sciences, Cancer Epidemiology, Lund University , Lund, Sweden4 aut0 (Swepub:lu)med-pbo
700	1	a Eriksson, Marie,c Professoru Umeå University,Umeå universitet,Klinisk neurovetenskap,Statistik,Avdelningen för medicin,Department of Neurosurgery, Umeå University , Umeå, Sweden,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden; Department of Statistics, Umeå University , Umeå, Sweden4 aut0 (Swepub:umu)maer0004
700	1	a Eriksson, Marieu Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden; Department of Statistics, Umeå University , Umeå, Sweden4 aut
700	1	a Forsberg, Bertilu Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden4 aut0 (Swepub:umu)befo0001
700	1	a Fransson, Eleonor I.,d 1971-u Jönköping University,HHJ, Avdelningen för naturvetenskap och biomedicin,HHJ. ADULT,Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University , Jönköping, Sweden4 aut0 (Swepub:hj)Frel
700	1	a Giedraitis, Vilmantasu Uppsala universitet,Geriatrik,Uppsala University, Uppsala4 aut0 (Swepub:uu)vigie517
700	1	a Theorell-Haglöw, Jennyu Uppsala universitet,Lung- allergi- och sömnforskning,Uppsala University, Uppsala4 aut0 (Swepub:uu)jethe020
700	1	a Hallqvist, Johan,d 1950-u Uppsala universitet,Allmänmedicin och preventivmedicin,Uppsala University, Uppsala4 aut0 (Swepub:uu)johha694
700	1	a Hansson, Per-Olof,d 1958u Gothenburg University,Göteborgs universitet,University of Gothenburg,Department of Molecular and Clinical Medicine, Sahlgrenska Academy/ Sahlgrenska University Hospital, University of Gothenburg , Gothenburg, Sweden,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xhanpm
700	1	a Heller, Susanneu Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Uppsala University, Uppsala4 aut0 (Swepub:uu)susahell
700	1	a Håkansson, Niclasu Karolinska Institutet,Karolinska Institute,Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden4 aut
700	1	a Ingelsson, Martinu Uppsala universitet,Geriatrik4 aut0 (Swepub:uu)maing121
700	1	a Janson, Christeru Uppsala universitet,Lung- allergi- och sömnforskning,Uppsala University, Uppsala4 aut0 (Swepub:uu)chrisjn
700	1	a Järvholm, Bengtu Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden4 aut0 (Swepub:umu)beja0001
700	1	a Khalili, Payamu Karolinska Institutet4 aut0 (Swepub:lu)smim-pkh
700	1	a Knutsson, Anders,d 1942-u Mid Sweden University,Mittuniversitetet,Institutionen för hälsovetenskap,Department of Health Sciences, Mid Sweden University , Östersund, Sweden4 aut0 (Swepub:miun)andknu
700	1	a Lager, Antonu Karolinska Institutet,Stockholm County Council,Centre for Epidemiology and Community Medicine , Stockholm County Council, Stockholm, Sweden; Department of Public Health Sciences , Stockholm, Sweden4 aut
700	1	a Lagerros, Ylva Trolleu Karolinska Institutet,Karolinska Institute,Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet , Stockholm, Sweden; Department of Medicine, Karolinska University Hospital , Huddinge, Stockholm, Sweden4 aut
700	1	a Larsson, Susanna Cu Karolinska Institute,Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden4 aut
700	1	a Leander, Karinu Karolinska Institutet,Karolinska Institute,Institute of Environmental Medicine, Cardiovascular Epidemiology, Karolinska Institutet , Stockholm, Sweden4 aut
700	1	a Leppert, Jerzyu Uppsala University,Uppsala universitet,Centrum för klinisk forskning, Västerås,Centre for Clinical Research Västerås, Västmanland Region, Uppsala University, Västerås,Västmanlands läns landsting / Region Västmanland4 aut0 (Swepub:uu)jelep103
700	1	a Lind, Larsu Karolinska Institutet,Karolinska Institute,Uppsala universitet,Klinisk epidemiologi,Uppsala University, Uppsala,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm, Sweden4 aut0 (Swepub:uu)larslind
700	1	a Lindberg, Evau Uppsala universitet,Lung- allergi- och sömnforskning,Uppsala University, Uppsala4 aut0 (Swepub:uu)evalb
700	1	a Magnusson, Ceciliau Karolinska Institutet,Umeå University,Centre for Epidemiology and Community Medicine , Stockholm County Council, Stockholm, Sweden; Department of Public Health Sciences , Stockholm, Sweden4 aut
700	1	a Magnusson, Patrik K Eu Karolinska Institute,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm, Sweden4 aut
700	1	a Malfert, Mauriciou Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Uppsala University, Uppsala,Uppsala University Hospital4 aut0 (Swepub:uu)mauma932
700	1	a Michaëlsson, Karl,d 1959-u Uppsala universitet,Medicinsk epidemiologi,Uppsala University, Uppsala4 aut0 (Swepub:uu)karlmich
700	1	a Nilsson, Peteru Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Department of Clinical Sciences, Lund University , Lund, Sweden4 aut0 (Swepub:lu)medf-pni
700	1	a Olsson, Håkanu Lund University,Lunds universitet,Lunds Melanomstudiegrupp,Forskargrupper vid Lunds universitet,Lund Melanoma Study Group,Lund University Research Groups,Department of Clinical Sciences, Cancer Epidemiology, Lund University , Lund, Sweden4 aut0 (Swepub:lu)onk-hol
700	1	a Pedersen, Nancy Lu Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm, Sweden4 aut
700	1	a Pennlert, Johannau Umeå University,Umeå universitet,Avdelningen för medicin,Department of Public Health and Clinical Medicine, Umeå University , Umeå, Sweden4 aut0 (Swepub:umu)joapet02
700	1	a Rosenblad, Andreas,c Fil. dr,d 1973-u Uppsala University,Uppsala universitet,Centrum för klinisk forskning, Västerås,Centre for Clinical Research Västerås, Västmanland Region, Uppsala University, Västerås,Västmanlands läns landsting / Region Västmanland4 aut0 (Swepub:uu)ankar957
700	1	a Rosengren, Annika,d 1951u Gothenburg University,Göteborgs universitet,University of Gothenburg,Department of Molecular and Clinical Medicine, Sahlgrenska Academy/ Sahlgrenska University Hospital, University of Gothenburg , Gothenburg, Sweden,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xrosan
700	1	a Torén, Kjell,d 1952u Gothenburg University,Göteborgs universitet,University of Gothenburg,Sahlgrenska University Hospital,Section of Occupational and Environmental Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine4 aut0 (Swepub:gu)xtorkj
700	1	a Wanhainen, Andersu Uppsala universitet,Kärlkirurgi,Uppsala University, Uppsala4 aut0 (Swepub:uu)anwan103
700	1	a Wolk, Alicjau Karolinska Institutet,Karolinska Institute,Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet , Stockholm, Sweden4 aut0 (Swepub:uu)alwol516
700	1	a Engström, Gunnaru Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups,Department of Clinical Sciences, Lund University , Lund, Sweden4 aut0 (Swepub:lu)smi-gen
700	1	a Svennblad, Bodilu Uppsala universitet,Medicinsk epidemiologi,Uppsala University, Uppsala4 aut0 (Swepub:uu)bosve677
700	1	a Wiberg, Bernice,d 1956-u Uppsala universitet,Klinisk epidemiologi,Uppsala University, Uppsala4 aut0 (Swepub:uu)bewib534
710	2	a Uppsala universitetb Klinisk epidemiologi4 org
773	0	t International Journal of Epidemiologyd : Oxford University Pressg 48:6, s. 2018-2025q 48:6<2018-2025x 0300-5771x 1464-3685
856	4	u https://academic.oup.com/ije/article-pdf/48/6/2018/31611067/dyz163.pdf
856	4	u http://dx.doi.org/10.1093/ije/dyz163y FULLTEXT
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-401342
856	4 8	u https://doi.org/10.1093/ije/dyz163
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-162427
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-38239
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-45507
856	4 8	u https://lup.lub.lu.se/record/f136e2ca-3618-432e-8a75-37d9c1dc3cb2
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:142899659
856	4 8	u https://gup.ub.gu.se/publication/284816

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