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Association of Aortic Aneurysms and Dissections With Subarachnoid Hemorrhage.

TitleAssociation of Aortic Aneurysms and Dissections With Subarachnoid Hemorrhage.
Publication TypeJournal Article
Year of Publication2019
AuthorsAl-Kawaz M, Kamel H, Murthy SB, Merkler AE
JournalJ Am Heart Assoc
Volume8
Issue18
Paginatione013456
Date Published2019 09 17
ISSN2047-9980
Abstract

Background It is uncertain whether aortic diseases, such as aneurysm and dissection, are associated with intracranial aneurysm formation and aneurysmal subarachnoid hemorrhage (SAH). Methods and Results We used data on claims between 2008 and 2015 from a nationally representative 5% sample of Medicare beneficiaries. Our exposure variable was hospitalization with an unruptured or ruptured aortic aneurysm or aortic dissection. The outcome was nontraumatic SAH. Variables were ascertained by (), diagnosis codes. Survival statistics were used to calculate incidence rates. Cox proportional hazards analysis was used to examine the association between aortic aneurysm/dissection and SAH while adjusting for demographics, vascular risk factors, and Charlson comorbidities. Among 1 781 917 beneficiaries, 32 551 (1.8%) had a documented aortic aneurysm or dissection. During 4.6±2.2 years of follow-up, 2538 patients (0.14%) developed a nontraumatic SAH. The incidence of SAH was 9 (95% CI, 7-11) per 10 000 patients per year in those with aortic aneurysm/dissection compared with 3 (95% CI, 3-3) per 10 000 patients per year in those without aortic aneurysm/dissection. After adjustment for demographics, stroke risk factors, and Charlson comorbidities, patients with aortic aneurysm/dissection faced an increased risk of SAH (hazard ratio, 1.4; 95% CI, 1.02-1.9; =0.04). Conclusions In a nationally representative sample of Medicare beneficiaries, aortic aneurysm/dissection was associated with an increased risk of nontraumatic SAH.

DOI10.1161/JAHA.119.013456
Alternate JournalJ Am Heart Assoc
PubMed ID31512568
PubMed Central IDPMC6818000
Grant ListK23 NS082367 / NS / NINDS NIH HHS / United States
R01 NS097443 / NS / NINDS NIH HHS / United States
U01 NS095869 / NS / NINDS NIH HHS / United States

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