Subarachnoid haemorrhage and intracranial aneurysms in Greenland in the period 2018–2021: incidence, outcome and familial disposition

Subarachnoid haemorrhages (SAH) caused by rupture of intracranial aneurysms (IA) are a severe condition. Earlier studies found a higher incidence of SAH in Greenlandic patients compared to Danish patients, with familial aggregation also higher in Greenland. However, updated data is lacking. To inves...

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Main Authors: Joo Roerholm Svendsen, Michael Lynge Pedersen, John Hauerberg, Ole Gredal
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Circumpolar Health
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Online Access:https://www.tandfonline.com/doi/10.1080/22423982.2024.2356889
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author Joo Roerholm Svendsen
Michael Lynge Pedersen
John Hauerberg
Ole Gredal
author_facet Joo Roerholm Svendsen
Michael Lynge Pedersen
John Hauerberg
Ole Gredal
author_sort Joo Roerholm Svendsen
collection DOAJ
description Subarachnoid haemorrhages (SAH) caused by rupture of intracranial aneurysms (IA) are a severe condition. Earlier studies found a higher incidence of SAH in Greenlandic patients compared to Danish patients, with familial aggregation also higher in Greenland. However, updated data is lacking. To investigate the contemporary incidence, outcome, and familial disposition of SAH/IA in Greenlandic patients in 2018–2021. Greenlandic patients diagnosed with ruptured or unruptured IA (UIA) during 2018–2021 were included. Data was obtained from patient files, x-ray department, and discharge registry. Incidence rates were estimated as cases/100,000/year. Direct age-standardised incidence rates were calculated using WHO 2000–2025 as standards. Of 30 SAH patients, 20 (66.7%) were females, 10 (33.3%) males. Of 36 UIA patients, 27 (75.0%) were females, 9 (25.0%) males. For SAH, crude incidence was 13.4/100,000/year, age-standardised incidence was 10.8/100,000/year. Familial history was observed in 30.0% of SAH patients. 5 patients (16.7%) died before treatment, 28-day case-fatality rate (CFR) for all patients was 23.3%. Overall and age-standardised incidence rates were similar to previous studies but higher among females and compared to neighbouring countries. A high occurrence of familial history was reported. SAH remains a serious condition in Greenland, as evidenced by five fatalities before treatment was administered.
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spelling doaj-art-b1504e7c6e964432a8bef362ff753f022025-08-20T01:54:33ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822024-12-0183110.1080/22423982.2024.2356889Subarachnoid haemorrhage and intracranial aneurysms in Greenland in the period 2018–2021: incidence, outcome and familial dispositionJoo Roerholm Svendsen0Michael Lynge Pedersen1John Hauerberg2Ole Gredal3Queen Ingrid’s Hospital, Aarhus University, Nuuk, GreenlandGreenland Center for Health Research, Institute of Health and Nature, University of Greenland, Nuuk, Greenland; Steno Diabetes Center Greenland, Nuuk, Greenland, Nuuk, GreenlandDepartment of neurosurgery, Copenhagen University Hospital (Rigshospitalet), Copenhagen, DenmarkMedical Department, Queen Ingrid’s Hospital, Nuuk, GreenlandSubarachnoid haemorrhages (SAH) caused by rupture of intracranial aneurysms (IA) are a severe condition. Earlier studies found a higher incidence of SAH in Greenlandic patients compared to Danish patients, with familial aggregation also higher in Greenland. However, updated data is lacking. To investigate the contemporary incidence, outcome, and familial disposition of SAH/IA in Greenlandic patients in 2018–2021. Greenlandic patients diagnosed with ruptured or unruptured IA (UIA) during 2018–2021 were included. Data was obtained from patient files, x-ray department, and discharge registry. Incidence rates were estimated as cases/100,000/year. Direct age-standardised incidence rates were calculated using WHO 2000–2025 as standards. Of 30 SAH patients, 20 (66.7%) were females, 10 (33.3%) males. Of 36 UIA patients, 27 (75.0%) were females, 9 (25.0%) males. For SAH, crude incidence was 13.4/100,000/year, age-standardised incidence was 10.8/100,000/year. Familial history was observed in 30.0% of SAH patients. 5 patients (16.7%) died before treatment, 28-day case-fatality rate (CFR) for all patients was 23.3%. Overall and age-standardised incidence rates were similar to previous studies but higher among females and compared to neighbouring countries. A high occurrence of familial history was reported. SAH remains a serious condition in Greenland, as evidenced by five fatalities before treatment was administered.https://www.tandfonline.com/doi/10.1080/22423982.2024.2356889Subarachnoid haemorrhagefamilial intracranial aneurysmGreenlandincidencestroke
spellingShingle Joo Roerholm Svendsen
Michael Lynge Pedersen
John Hauerberg
Ole Gredal
Subarachnoid haemorrhage and intracranial aneurysms in Greenland in the period 2018–2021: incidence, outcome and familial disposition
International Journal of Circumpolar Health
Subarachnoid haemorrhage
familial intracranial aneurysm
Greenland
incidence
stroke
title Subarachnoid haemorrhage and intracranial aneurysms in Greenland in the period 2018–2021: incidence, outcome and familial disposition
title_full Subarachnoid haemorrhage and intracranial aneurysms in Greenland in the period 2018–2021: incidence, outcome and familial disposition
title_fullStr Subarachnoid haemorrhage and intracranial aneurysms in Greenland in the period 2018–2021: incidence, outcome and familial disposition
title_full_unstemmed Subarachnoid haemorrhage and intracranial aneurysms in Greenland in the period 2018–2021: incidence, outcome and familial disposition
title_short Subarachnoid haemorrhage and intracranial aneurysms in Greenland in the period 2018–2021: incidence, outcome and familial disposition
title_sort subarachnoid haemorrhage and intracranial aneurysms in greenland in the period 2018 2021 incidence outcome and familial disposition
topic Subarachnoid haemorrhage
familial intracranial aneurysm
Greenland
incidence
stroke
url https://www.tandfonline.com/doi/10.1080/22423982.2024.2356889
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AT johnhauerberg subarachnoidhaemorrhageandintracranialaneurysmsingreenlandintheperiod20182021incidenceoutcomeandfamilialdisposition
AT olegredal subarachnoidhaemorrhageandintracranialaneurysmsingreenlandintheperiod20182021incidenceoutcomeandfamilialdisposition