A temporal pattern in the occurrence of aneurysmal subarachnoid hemorrhage in the Province of Vojvodina, Serbia

Petar Vuleković, Emilija Nikolić-Dorić, Željko Kojadinović, Vladimir Papić, Mladen Karan, T. Dóczi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Numerous studies with conflicting results have tried to prove the influence of seasonal variations or different meteorological factors on the occurrence of aneurysmal subarachnoidal hemorrhage (SAH). The aim of this study was to establish a mathematical model of a series of aneurysmal rupture dates in different patients and verify a temporal pattern in the occurrence of SAH. Methods: We analyzed a group of 563 patients with the exact aneurysm rupture dates, hospitalized at the Clinic of Neurosurgery, Clinical Center of Vojvodina, Novi Sad, Serbia, between January 1, 1998 and December 31, 2009. After the monthly distributions, we evaluated the period between two subsequent rupture dates. Results: The absolute number of SAH per month varied between 0 and 10. The monthly seasonal indices show a fluctuation of the time series (with the peak in March and nadir in September), but the median values of the number of aneurysm ruptures in a particular month did not differ significantly. The time scale of the aneurysm rupture dates shows that the most frequent interval between subsequent ruptures was 1 day (in 75 cases or 13.34%). Following this period, the number of days between ruptures showed a gradually decreasing pattern that could be approximated by exponential distribution. Conclusions: The results are a clear confirmation that SAH patients do indeed present in clusters in a restricted population area. This exact clustering in our series is not particularly connected to month or season, yet strongly supports the existence of a temporal pattern in SAH occurrence.

Original languageEnglish
Pages (from-to)1313-1319
Number of pages7
JournalActa Neurochirurgica
Volume153
Issue number6
DOIs
Publication statusPublished - Jun 2011

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Yugoslavia
Serbia
Subarachnoid Hemorrhage
Rupture
Hemorrhage
Aneurysm
Meteorological Concepts
Neurosurgery
Cluster Analysis
Theoretical Models

Keywords

  • Cerebral aneurysm
  • Seasonal variation
  • Subarachnoid hemorrhage
  • Temporal pattern
  • Time scale

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

A temporal pattern in the occurrence of aneurysmal subarachnoid hemorrhage in the Province of Vojvodina, Serbia. / Vuleković, Petar; Nikolić-Dorić, Emilija; Kojadinović, Željko; Papić, Vladimir; Karan, Mladen; Dóczi, T.

In: Acta Neurochirurgica, Vol. 153, No. 6, 06.2011, p. 1313-1319.

Research output: Contribution to journalArticle

Vuleković, Petar ; Nikolić-Dorić, Emilija ; Kojadinović, Željko ; Papić, Vladimir ; Karan, Mladen ; Dóczi, T. / A temporal pattern in the occurrence of aneurysmal subarachnoid hemorrhage in the Province of Vojvodina, Serbia. In: Acta Neurochirurgica. 2011 ; Vol. 153, No. 6. pp. 1313-1319.
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