Differential Effects of Activity and Climate on Onset of Subarachnoid Hemorrhage
スポンサーリンク
概要
- 論文の詳細を見る
Conflicting findings of the effect of climate on onset of subarachnoid hemorrhage (SAH) may result from the influence of strenuous activities which can trigger aneurysmal rupture independent of climatological factors. The effect of climate and patient activities on onset of SAH were analyzed. The clinical records of 786 consecutive patients with aneurysmal SAH admitted to our hospital for 10 years were reviewed. Activities at onset were categorized according to the intensity of strain at onset. Seasonal variation, circannual cyclic trend, and association with 90 meteorological factors were examined in each category and the results were compared between categories. Bimonthly occurrence in the light strain group showed a significant seasonal variation and cyclic trend with two peaks in early spring and fall, whereas no significant trend was detected in the overall patients and in the heavy strain group. The significant meteorological factors were global solar radiation, sunshine hours, changes in mean and minimum temperature and mean vapor pressure from the previous day, and minimum pressure in the previous 7 days. Lower global solar radiation in the light strain group was associated with onset with the lowest p value (p=0.0046). No factors were significant in the heavy strain group. There is some evidence of the possible influence of climatological factors on onset of SAH without strenuous activity. Strenuous activity seems to affect onset more strongly, which masks any effect of climate.
- 日本脳神経外科学会の論文
- 2001-05-15
著者
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KAWAI Kensuke
Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital
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KIRINO Takaaki
Department of Neurosurgery
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Suzuki Hiromasa
Department Of Cardiology Juntendo University
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TAMURA AKIRA
Department of Surgery, Omori Hospital, Toho University School of Medicine
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Kawai Kensuke
Department Of Neuropsychiatry Okayama University Medical School
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Kawai Kensuke
Departments Of Neurosurgery Teikyo University School Of Medicine:department Of Neurosurgery Faculty
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Nonaka Koichi
Department Of Hygiene And Public Health Teikyo University School Of Medicine:department Of Human Dev
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Nonaka Koichi
Departments Of Hygiene Teikyo University School Of Medicine
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Nonaka Koichi
Department Of Human Development Faculty Of Human Sciences Wako University
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Suzuki Hiromasa
Department Of Cadiology Juntendo University School Of Medicine
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Tamura Akira
Department Of Biochemistry Kyoto Pharmaceutical University
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Tamura Akira
Departments Of Neurosurgery Teikyo University School Of Medicine
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Suzuki Hiromasa
Departments Of Emergency Medicine Teikyo University School Of Medicine
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