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Incidence and case-fatality from spontaneous intracerebral hemorrhage in a southern region of Portugal

2017-09Journal article Restricted access
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dc.contributor.authorNzwalo, Hipólito
dc.contributor.authorNogueira, Jerina
dc.contributor.authorFélix, Catarina
dc.contributor.authorGuilherme, Patrícia
dc.contributor.authorBaptista, Alexandre
dc.contributor.authorFigueiredo, Teresa
dc.contributor.authorFerreira, Fatima
dc.contributor.authorMarreiros, Ana
dc.contributor.authorThomassen, Lars
dc.contributor.authorLogallo, Nicola
dc.date.accessioned2019-11-20T15:07:21Z
dc.date.available2019-11-20T15:07:21Z
dc.date.issued2017-09
dc.description.abstractBackground: There is scarce information on incidence and case fatality of spontaneous intracerebral hemorrhage (SICH) in certain regions of the world, including in Europe. There is no community-based data on SICH in Southern Portugal. Aim: To determine the incidence and early case-fatality from SICH in Algarve, the southernmost region of Portugal. Methods: The recommended criteria for stroke incidence studies was used to identify cases of incident first-ever SICH from January 1st to December 31st 2015 in a subregion with 280,081 inhabitants. Crude incidence rates per age group and gender; standardized rates to the European population; and age adjusted case fatality rates were calculated. Results: Eighty-two first-ever cases of SICH (64.6% men) occurred. The mean age was 72.3 years (SD +/- 12.1); women were 3 years older than men on average and had more frequently lobar SICH. The crude annual incidence rate was 29.2/100,000 (95% CI 23.4- 38.6; p < 0.001); higher in men (39.7/100,000) than women (19.8/100,000). The standardized to the European population incidence was 15.1/100,000 (95% CI 3.6-18.9; p < 0.05); 26.9 and 10.9/100,000 for men and women respectively. The 30-day case-fatality was 40 % (95% CI 29-51) and increased steeply with age Conclusion: The incidence of SICH in Southern Portugal was high, but within the figures found in some parts of Europe. However, a marked predominance of males was found and the case-fatality rate was amongst the highest reported in western countries. (C) 2017 Elsevier B.V. All rights reserved.
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doi10.1016/j.jns.2017.07.006
dc.identifier.issn0022-510X
dc.identifier.issn1878-5883
dc.identifier.urihttp://hdl.handle.net/10400.1/12991
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectStroke incidence
dc.subjectMortality
dc.subjectWorldwide
dc.subjectEtiology
dc.titleIncidence and case-fatality from spontaneous intracerebral hemorrhage in a southern region of Portugal
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage78
oaire.citation.startPage74
oaire.citation.titleJournal of the Neurological Sciences
oaire.citation.volume380
person.familyNameNzwalo
person.familyNameNogueira
person.familyNameMarreiros
person.familyNameThomassen
person.givenNameHipólito
person.givenNameJerina
person.givenNameAna
person.givenNameLars
person.identifier337064
person.identifier.ciencia-id2C1F-E4F3-2C79
person.identifier.ciencia-id9A12-9450-7051
person.identifier.orcid0000-0002-1502-3534
person.identifier.orcid0000-0001-9349-7594
person.identifier.orcid0000-0001-9410-4772
person.identifier.orcid0000-0002-6532-2591
person.identifier.ridAAG-3931-2020
person.identifier.scopus-author-id36057285600
person.identifier.scopus-author-id57194785077
rcaap.rightsrestrictedAccess
rcaap.typearticle
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relation.isAuthorOfPublication54981fd1-18b8-445d-af14-b3e38d5792b4
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relation.isAuthorOfPublication1d81dea4-312d-4c03-9307-804cda34a4e8
relation.isAuthorOfPublication.latestForDiscovery287f7d4e-5ad8-4794-b526-c61d32c00446

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