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Published on: August 30, 2020
Declining Admission and Mortality Rates for Subarachnoid Hemorrhage in Canada Between 2004 and 2015
Vivien Chan1, Patrice Lindsay2, Jessica McQuiggan2
1From the Department of Neurosurgery, University of Alberta, Edmonton, Canada (V.C., C.O.).
Insights
Canadian subarachnoid hemorrhage (SAH) admission and mortality rates are lower than previously reported. This study found a declining trend in SAH hospitalizations and in-hospital deaths in Canada from 2004 to 2015.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Subarachnoid hemorrhage (SAH) is a critical neurological condition with significant mortality.
- Understanding recent trends in SAH is crucial for public health planning and resource allocation.
Purpose of the Study:
- To evaluate current trends in subarachnoid hemorrhage (SAH) admission and mortality rates in Canada.
- To analyze hospitalization rates and in-hospital mortality for SAH patients.
Main Methods:
- Retrospective cross-sectional study design.
- Utilized data from the Canadian Institute for Health Information (CIHI) from 2004 to 2015.
- Calculated adjusted admission rates, in-hospital mortality rates, and discharge dispositions for SAH patients.
Main Results:
- A total of 19,765 patients with subarachnoid hemorrhage (SAH) were identified between 2004 and 2015.
- The annual SAH hospitalization rate was 6.34 per 100,000 person-years, showing a decline of -0.67% annually.
- The in-hospital mortality rate for SAH was 21.5%.
Conclusions:
- Canadian subarachnoid hemorrhage (SAH) admission and mortality rates are lower than previously documented.
- A significant declining trend in SAH hospitalization and mortality rates was observed in Canada.
Abstract:
Background and Purpose- The purpose of this study was to assess recent trends in the admission and mortality rates for subarachnoid hemorrhage in Canada. Methods- This retrospective cross-sectional study was based on data retrieved from the Canadian Institute for Health Information for all patients diagnosed with subarachnoid hemorrhage in Canada between 2004 and 2015. Adjusted admission rate, in-hospital mortality rates, and discharge disposition were calculated. Results- A total of 19 765 patients were diagnosed with subarachnoid hemorrhage between 2004 and 2015. The mean age was 58.1 years, and 40.3% were men. The annual hospitalization rate was 6.34 per 100 000 person-years, declining by -0.67% annually. In-hospital mortality rate was 21.5%. Conclusions- The Canadian subarachnoid hemorrhage admission and mortality rates are lower than previously reported, with a declining trend.
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