くも膜下出血の疫学と転帰
最近 30年間でくも膜下出血頻度は日本のみが増加しているという報告の反論として，我々は，2003年から2015年までの日本のくも膜下出血頻度は減少し，その原因は，生活習慣（高血圧，喫煙等）の改善のためであることを報告した．しかし，日本人のくも膜下出血の頻度は世界一高いがその原因は解明されていない．一方，日本の脳梗塞に比較してくも膜下出血の治療成績は改善されておらず，くも膜下出血後脳損傷や遅発性脳虚血に対する治療が十分とは言えない．今回，日本のくも膜下出血の疫学，転帰と未破裂脳動脈瘤との関連性などについて解説した．...
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| Published in | 島根県立中央病院医学雑誌 Vol. 47; no. 1; pp. 3 - 9 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
島根県立中央病院
10.03.2023
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0289-5455 2435-0710 |
| DOI | 10.34345/spch.47.1_3 |
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| Abstract | 最近 30年間でくも膜下出血頻度は日本のみが増加しているという報告の反論として，我々は，2003年から2015年までの日本のくも膜下出血頻度は減少し，その原因は，生活習慣（高血圧，喫煙等）の改善のためであることを報告した．しかし，日本人のくも膜下出血の頻度は世界一高いがその原因は解明されていない．一方，日本の脳梗塞に比較してくも膜下出血の治療成績は改善されておらず，くも膜下出血後脳損傷や遅発性脳虚血に対する治療が十分とは言えない．今回，日本のくも膜下出血の疫学，転帰と未破裂脳動脈瘤との関連性などについて解説した． |
|---|---|
| AbstractList | 最近 30年間でくも膜下出血頻度は日本のみが増加しているという報告の反論として，我々は，2003年から2015年までの日本のくも膜下出血頻度は減少し，その原因は，生活習慣（高血圧，喫煙等）の改善のためであることを報告した．しかし，日本人のくも膜下出血の頻度は世界一高いがその原因は解明されていない．一方，日本の脳梗塞に比較してくも膜下出血の治療成績は改善されておらず，くも膜下出血後脳損傷や遅発性脳虚血に対する治療が十分とは言えない．今回，日本のくも膜下出血の疫学，転帰と未破裂脳動脈瘤との関連性などについて解説した． |
| Author | 井川, 房夫 |
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| ContentType | Journal Article |
| Copyright | 2023 島根県立中央病院 |
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| DOI | 10.34345/spch.47.1_3 |
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| References | ５）Korja M, Kaprio J. Controversies in epidemiology of intracranial aneurysms and sah. Nat Rev Neurol, 12（1）: 50-55, 2016 16）Ikawa F, Michihata N, Iihara K, et al: Risk management of aneurysmal subarachnoid hemorrhage by age and treatment method from a nationwide database in japan. World Neurosurg, 134 e55-e67, 2020 ２）Schatlo B, Fung C, Stienen MN, et al: Incidence and outcome of aneurysmal subarachnoid hemorrhage: The swiss study on subarachnoid hemorrhage（swiss sos）. Stroke, 52（1）: 344-347, 2021 ４）Ikawa F, Morita A, Nakayama T, et al: A register based sah study in japan: High incidence rate and recent decline trend based on lifestyle. J Neurosurg, 134（3）: 983-991, 2020 23）Ikawa F, Michihata N, Akiyama Y, et al: Treatment risk for elderly patients with unruptured cerebral aneurysm from a nationwide database in japan. World Neurosurg, 132 e89-e98, 2019 25）Rinaldo L, McCutcheon BA, Murphy ME, et al: Quantitative analysis of the effect of institutional case volume on complications after surgical clipping of unruptured aneurysms. J Neurosurg, 127（6）: 1297-1306, 2017 15）de Rooij NK, Linn FH, van der Plas JA, et al: Incidence of subarachnoid haemorrhage: A systematic review with emphasis on region, age, gender and time trends. J Neurol Neurosurg Psychiatry, 78（12）: 1365-1372, 2007 13）Fuentes AM, Stone McGuire L, Amin-Hanjani S. Sex differences in cerebral aneurysms and subarachnoid hemorrhage. Stroke, 53（2）: 624-633, 2022 18）Jaja BNR, Saposnik G, Lingsma HF, et al: Development and validation of outcome prediction models for aneurysmal subarachnoid haemorrhage: The sahit multinational cohort study. Bmj, 360j5745, 2018 14）Algra AM, Klijn CJ, Helmerhorst FM, et al: Female risk factors for subarachnoid hemorrhage: A systematic review. Neurology, 79（12）: 1230-1236, 2012 11）豊田一則．脳卒中データバンク 2021．中山書店；2021 ９）Ikawa F, Michihata N, Matsushige T, et al: In hospital mortality and poor outcome after surgical clipping and endovascular coiling for aneurysmal subarachnoid hemorrhage using nationwide databases: A systematic review and meta-analysis. Neurosurg Rev, 43（2）: 655-667, 2020 10）Kurogi R, Kada A, Ogasawara K, et al: Effects of case volume and comprehensive stroke center capabilities on patient outcomes of clipping and coiling for subarachnoid hemorrhage. J Neurosurg, 134（3）: 929-939, 2020 12）Rinkel GJ, Djibuti M, Algra A, et al: Prevalence and risk of rupture of intracranial aneurysms: A systematic review. Stroke, 29（1）: 251-256, 1998 21）Silva NA, Shao B, Sylvester MJ, et al: Unruptured aneurysms in the elderly: Perioperative outcomes and cost analysis of endovascular coiling and surgical clipping. Neurosurg Focus, 44（5）: E4, 2018 17）Toyoda K, Yoshimura S, Nakai M, et al: Twenty-year change in severity and outcome of ischemic and hemorrhagic strokes. JAMA Neurol, 79（1）: 61-69, 2022 19）Ikawa F, Ichihara N, Uno M, et al: Visualisation of the non-linear correlation between age and poor outcome in patients with aneurysmal subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry, 92（11）: 1173-1180, 2021 ６）Korja M, Lehto H, Juvela S, et al: Incidence of subarachnoid hemorrhage is decreasing together with decreasing smoking rates. Neurology, 87（11）: 1118-1123, 2016 22）Dasenbrock HH, Smith TR, Rudy RF, et al: Reoperation and readmission after clipping of an unruptured intracranial aneurysm: A national surgical quality improvement program analysis. J Neurosurg, 128（3）: 756-767, 2018 ３）Ruigrok YM, Seitz U, Wolterink S, et al: Association of polymorphisms and haplotypes in the elastin gene in dutch patients with sporadic aneurysmal subarachnoid hemorrhage. Stroke, 35（9）: 2064-2068, 2004 １）Etminan N, Chang HS, Hackenberg K, et al: Worldwide incidence of aneurysmal subarachnoid hemorrhage according to region, time period, blood pressure, and smoking prevalence in the population: A systematic review and meta-analysis. JAMA Neurol, 76（5）: 588-597, 2019 ８）Giordan E, Graffeo CS, Rabinstein AA, et al: Aneurysmal subarachnoid hemorrhage: Long-term trends in incidence and survival in olmsted county, minnesota. J Neurosurg, 134（3）: 878-883, 2020 20）Bekelis K, Gottlieb DJ, Su Y, et al: Comparison of clipping and coiling in elderly patients with unruptured cerebral aneurysms. J Neurosurg, 126（3）: 811-818, 2017 24）Zhang X, Tang H, Huang Q, et al: Total hospital costs and length of stay of endovascular coiling versus neurosurgical clipping for unruptured intracranial aneurysms: Systematic review and meta-analysis. World Neurosurg, 115 393-399, 2018 ７）Shea AM, Reed SD, Curtis LH, et al: Characteristics of nontraumatic subarachnoid hemorrhage in the united states in 2003. Neurosurgery, 61（6）: 1131-1137; discussion 1137-1138, 2007 |
| References_xml | – reference: １）Etminan N, Chang HS, Hackenberg K, et al: Worldwide incidence of aneurysmal subarachnoid hemorrhage according to region, time period, blood pressure, and smoking prevalence in the population: A systematic review and meta-analysis. JAMA Neurol, 76（5）: 588-597, 2019 – reference: 25）Rinaldo L, McCutcheon BA, Murphy ME, et al: Quantitative analysis of the effect of institutional case volume on complications after surgical clipping of unruptured aneurysms. J Neurosurg, 127（6）: 1297-1306, 2017 – reference: ５）Korja M, Kaprio J. Controversies in epidemiology of intracranial aneurysms and sah. Nat Rev Neurol, 12（1）: 50-55, 2016 – reference: ８）Giordan E, Graffeo CS, Rabinstein AA, et al: Aneurysmal subarachnoid hemorrhage: Long-term trends in incidence and survival in olmsted county, minnesota. J Neurosurg, 134（3）: 878-883, 2020 – reference: 16）Ikawa F, Michihata N, Iihara K, et al: Risk management of aneurysmal subarachnoid hemorrhage by age and treatment method from a nationwide database in japan. World Neurosurg, 134 e55-e67, 2020 – reference: 14）Algra AM, Klijn CJ, Helmerhorst FM, et al: Female risk factors for subarachnoid hemorrhage: A systematic review. Neurology, 79（12）: 1230-1236, 2012 – reference: 23）Ikawa F, Michihata N, Akiyama Y, et al: Treatment risk for elderly patients with unruptured cerebral aneurysm from a nationwide database in japan. World Neurosurg, 132 e89-e98, 2019 – reference: ２）Schatlo B, Fung C, Stienen MN, et al: Incidence and outcome of aneurysmal subarachnoid hemorrhage: The swiss study on subarachnoid hemorrhage（swiss sos）. Stroke, 52（1）: 344-347, 2021 – reference: 13）Fuentes AM, Stone McGuire L, Amin-Hanjani S. Sex differences in cerebral aneurysms and subarachnoid hemorrhage. Stroke, 53（2）: 624-633, 2022 – reference: 19）Ikawa F, Ichihara N, Uno M, et al: Visualisation of the non-linear correlation between age and poor outcome in patients with aneurysmal subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry, 92（11）: 1173-1180, 2021 – reference: 20）Bekelis K, Gottlieb DJ, Su Y, et al: Comparison of clipping and coiling in elderly patients with unruptured cerebral aneurysms. J Neurosurg, 126（3）: 811-818, 2017 – reference: ９）Ikawa F, Michihata N, Matsushige T, et al: In hospital mortality and poor outcome after surgical clipping and endovascular coiling for aneurysmal subarachnoid hemorrhage using nationwide databases: A systematic review and meta-analysis. Neurosurg Rev, 43（2）: 655-667, 2020 – reference: ４）Ikawa F, Morita A, Nakayama T, et al: A register based sah study in japan: High incidence rate and recent decline trend based on lifestyle. J Neurosurg, 134（3）: 983-991, 2020 – reference: ３）Ruigrok YM, Seitz U, Wolterink S, et al: Association of polymorphisms and haplotypes in the elastin gene in dutch patients with sporadic aneurysmal subarachnoid hemorrhage. Stroke, 35（9）: 2064-2068, 2004 – reference: 10）Kurogi R, Kada A, Ogasawara K, et al: Effects of case volume and comprehensive stroke center capabilities on patient outcomes of clipping and coiling for subarachnoid hemorrhage. J Neurosurg, 134（3）: 929-939, 2020 – reference: 21）Silva NA, Shao B, Sylvester MJ, et al: Unruptured aneurysms in the elderly: Perioperative outcomes and cost analysis of endovascular coiling and surgical clipping. Neurosurg Focus, 44（5）: E4, 2018 – reference: 12）Rinkel GJ, Djibuti M, Algra A, et al: Prevalence and risk of rupture of intracranial aneurysms: A systematic review. Stroke, 29（1）: 251-256, 1998 – reference: ６）Korja M, Lehto H, Juvela S, et al: Incidence of subarachnoid hemorrhage is decreasing together with decreasing smoking rates. Neurology, 87（11）: 1118-1123, 2016 – reference: 15）de Rooij NK, Linn FH, van der Plas JA, et al: Incidence of subarachnoid haemorrhage: A systematic review with emphasis on region, age, gender and time trends. J Neurol Neurosurg Psychiatry, 78（12）: 1365-1372, 2007 – reference: ７）Shea AM, Reed SD, Curtis LH, et al: Characteristics of nontraumatic subarachnoid hemorrhage in the united states in 2003. Neurosurgery, 61（6）: 1131-1137; discussion 1137-1138, 2007 – reference: 11）豊田一則．脳卒中データバンク 2021．中山書店；2021 – reference: 22）Dasenbrock HH, Smith TR, Rudy RF, et al: Reoperation and readmission after clipping of an unruptured intracranial aneurysm: A national surgical quality improvement program analysis. J Neurosurg, 128（3）: 756-767, 2018 – reference: 24）Zhang X, Tang H, Huang Q, et al: Total hospital costs and length of stay of endovascular coiling versus neurosurgical clipping for unruptured intracranial aneurysms: Systematic review and meta-analysis. World Neurosurg, 115 393-399, 2018 – reference: 18）Jaja BNR, Saposnik G, Lingsma HF, et al: Development and validation of outcome prediction models for aneurysmal subarachnoid haemorrhage: The sahit multinational cohort study. Bmj, 360j5745, 2018 – reference: 17）Toyoda K, Yoshimura S, Nakai M, et al: Twenty-year change in severity and outcome of ischemic and hemorrhagic strokes. JAMA Neurol, 79（1）: 61-69, 2022 |
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| Title | くも膜下出血の疫学と転帰 |
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