1. Epidemiological trends of subarachnoid hemorrhage at global, regional, and national level: a trend analysis study from 1990 to 2021
- Author
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Bin Lv, Jin-Xin Lan, Yan-Fang Si, Yi-Fan Ren, Ming-Yu Li, Fang-Fang Guo, Ge Tang, Yang Bian, Xiao-Hui Wang, Rong-Ju Zhang, Zhi-Hua Du, Xin-Feng Liu, Sheng-Yuan Yu, Cheng-Lin Tian, Xiang-Yu Cao, and Jun Wang
- Subjects
Subarachnoid hemorrhage (SAH) ,Global Burden of Disease Study (GBD) 2021 ,Incidence ,Mortality ,Disability-adjusted life-years (DALYs) ,Medicine (General) ,R5-920 ,Military Science - Abstract
Abstract Background Subarachnoid hemorrhage (SAH) is a subtype of hemorrhagic stroke characterized by high mortality and low rates of full recovery. This study aimed to investigate the epidemiological characteristics of SAH between 1990 and 2021. Methods Data on SAH incidence, mortality, and disability-adjusted life-years (DALYs) from 1990 to 2021 were obtained from the Global Burden of Disease Study (GBD) 2021. Estimated annual percentage changes (EAPCs) were calculated to evaluate changes in the age-standardized rate (ASR) of incidence and mortality, as well as trends in SAH burden. The relationship between disease burden and sociodemographic index (SDI) was also analyzed. Results In 2021, the incidence of SAH was found to be 37.09% higher than that in 1990; however, the age-standardized incidence rates (ASIRs) showed a decreased [EAPC: -1.52; 95% uncertainty interval (UI) -1.66 to -1.37]. Furthermore, both the number and rates of deaths and DALYs decreased over time. It was observed that females had lower rates compared to males. Among all regions, the high-income Asia Pacific region exhibited the highest ASIR (14.09/100,000; 95% UI 12.30/100,000 โ 16.39/100,000) in 2021, with an EPAC for ASIR
- Published
- 2024
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