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Chapter 4 - Prognostication in Subarachnoid Hemorrhage

from Part I - Disease-Specific Prognostication

Published online by Cambridge University Press:  14 November 2024

David M. Greer
Affiliation:
Boston University School of Medicine and Boston Medical Center
Neha S. Dangayach
Affiliation:
Icahn School of Medicine at Mount Sinai and Mount Sinai Health System
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Summary

Nontraumatic aneurysmal subarachnoid hemorrhage (aSAH) accounts for 5% of all strokes and carries an exceptionally high disease-specific burden: half of patients with aSAH are younger than 55 years, one-third die within the initial days to weeks after ictus, and most survivors have long-term disability or cognitive impairment.[1] For those who survive, there are both short- and long-term consequences that can significantly reduce quality of life. In addition, aSAH can lead to loss of many years of productive life in survivors. Modifiable risk factors for aSAH include hypertension, smoking, and excessive alcohol intake.[2] The global decrease in aSAH incidence has paralleled a decrease in mean blood pressure and smoking prevalence.[3]

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Publisher: Cambridge University Press
Print publication year: 2024

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References

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