National trends in the outcomes of subarachnoid haemorrhage and the prognostic influence of stroke centre capability in Japan: retrospective cohort study.

ABSTRACT:

Objectives

To examine the national, 6-year trends in in-hospital clinical outcomes of patients with subarachnoid haemorrhage (SAH) who underwent clipping or coiling and the prognostic influence of temporal trends in the Comprehensive Stroke Center (CSC) capabilities on patient outcomes in Japan.

Design

Retrospective study.

Setting

Six hundred and thirty-one primary care institutions in Japan.

Participants

Forty-five thousand and eleven patients with SAH who were urgently hospitalised, identified using the J-ASPECT Diagnosis Procedure Combination database.

Primary and secondary outcome measures

Annual number of patients with SAH who remained untreated, or who received clipping or coiling, in-hospital mortality and poor functional outcomes (modified Rankin

SUBMITTER: Kurogi R 

PROVIDER: S-EPMC10111904 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature