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Smoking, high blood pressure and cholesterol can be fatal for hemorrhage survivors
Date:1/14/2013

"It is particularly important for subarachnoid haemorrhage survivors to refrain from smoking and to take care of their blood pressure and cholesterol levels; apart from age, these are the primary factors behind the increased risk of mortality," explains neurosurgeon Miikka Korja from the HUCH's Neurosurgery Department together with professor Jaakko Kaprio from the University of Helsinki's Hjelt Institute.

The most extensive population-based follow-up study ever carried out on the subject, jointly conducted by HUCH, the University of Helsinki, and the Finnish National Institute for Health and Welfare, examined the mortality rate of patients who had experienced SAH, as well as the reasons behind the mortality rate. The study has been published in the leading neurological publication, Neurology (2013 Jan 9 Epub ahead of print).

The research subjects were Finns between the ages of 25 and 74, who had participated in the national FINRISK study between 1972 and 2007. Out of the total of 64,000 Finns, 437 suffered a subarachnoid haemorrhage during the research period, and 233 of them were alive when one year had passed of the episode. Follow-up continued till the end of 2009, with the median of the follow-up period being 8.6 years.

Of the 233 patients still alive after one year had passed since the subarachnoid haemorrhage, 88 (37.8%) died within the follow-up period. Mortality in this group was approximately double when compared to that of the general population, with the age and gender distribution taken into account. Examination of the causes of death revealed that the increased mortality was solely due to lethal occurrences in the blood circulation of the brain, such as strokes or internal bleeding.

The risk of mortality was particularly increased by smoking and a high cholesterol level and high systolic blood pressure already found before the subarachnoid haemorrhage.

"When comparing the continued mortality
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Contact: Dr. Miikka Korja
mkorja@mqneurosurgery.com
61-298-123-898
University of Helsinki
Source:Eurekalert

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