Observational Study: Examining the Meteorological Relationship Between Subarachnoid hemorrhage

Ökkeş Zortuk 1, Umut Ogün Mutlucan 2, Cihan Bedel 3 * , Fatih Selvi 3, Cezmi Çağrı Türk 2
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1 Department of Emergency Medicine, Hatay Defne State Hospital, Hatay, Turkey
2 Department of Neurosurgery, Health Science University Antalya Training and Research Hospital, Antalya,Turkey
3 Health Science University Antalya Training and Research Hospital, Department of Emergency Medicine ,Antalya,Turkey
* Corresponding Author
J CLIN MED KAZ, In press. https://doi.org/10.23950/jcmk/15790
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Author Contributions: Conceptualization, O. Z., C. B., U. O. M., F. S., C. Ç. T.; methodology, O. Z.,CB; validation, O. Z., C. B., UOM formal analysis, O. Z., C. B., U. O. M., F. S., C. Ç. T.; investigation, O. Z., C. B., U. O. M., F. S., C. Ç. T.; resources, O. Z.,CB , C. Ç. T.; data curation, O. Z., C. B., U. O. M., F. S., C. Ç. T.; writing – original draft preparation, O. Z. , F. S., C. Ç. T.; writing – review and editing, O. Z., C. B., U. O. M., F. S., C. Ç. T.; visualization, O. Z., C. B., UOM; supervision, O. Z.,CB; project administration, O. Z., C. B., U. O. M., F. S., C. Ç. T.; funding acquisition, O. Z., C. B., U. O. M., F. S., C. Ç. T.. All authors have read and agreed to the published version of the manuscript.

ABSTRACT

Background :Subarachnoid hemorrhage (SAH) is a critical condition involving bleeding into the subarachnoid space, commonly presenting with severe headache, nausea, vomiting, dizziness, and loss of consciousness. It is a significant cause of morbidity and mortality, especially in middle-aged and elderly populations, with many deaths occurring within the first 24 hours of hemorrhage onset. Some studies suggest a potential link between SAH and weather conditions, but findings are inconclusive.
Aims: This study aims to investigate the relationship between climatic conditions and the incidence of SAH, focusing on variables such as air temperature, dew point, humidity, weather conditions, wind speed, and atmospheric pressure.
Methods: A retrospective study was conducted on patients diagnosed with SAH and admitted to a tertiary care hospital's emergency department between January 1, 2023, and December 31, 2023. Inclusion criteria were definitive diagnosis of SAH in patients aged 18 and older and subsequent hospitalization. Weather data at the time of SAH diagnosis were retrospectively reviewed, including daily average air temperature, dew point, humidity, weather conditions, wind speed, atmospheric pressure, and precipitation. Data were analyzed using SPSS 25.0, employing Pearson chi-square and Fisher's exact test for group comparisons.
Results: The study included 309 SAH patients. Significant findings include a lower average dew point and higher wind speed and atmospheric pressure on days with SAH admissions. SAH incidence was higher on fair and cloudy days. The lowest SAH prevalence was in June, while the highest was in January. Seasonal analysis showed the highest prevalence in spring and the lowest in autumn.
Conclusion: SAH incidence varies by month and season, decreasing in June and autumn. Climatic conditions, particularly dew point, wind speed, and atmospheric pressure, are associated with SAH occurrence. Further research is needed to fully understand the impact of weather on SAH risk.

CITATION

Zortuk Ö, Mutlucan UO, Bedel C, Selvi F, Türk CÇ. Observational Study: Examining the Meteorological Relationship Between Subarachnoid hemorrhage. J Clin Med Kaz. 2024. https://doi.org/10.23950/jcmk/15790

REFERENCES

  • Hoh BL, Ko NU, Amin-Hanjani S, Chou SH-Y, Cruz-Flores S, Dangayach NS, Derdeyn CP, Du R, Hänggi D, Hetts SW, Ifejika NL, Johnson R, Keigher KM, Leslie-Mazwi TM, Lucke-Wold B, Rabinstein AA, Robicsek SA, Stapleton CJ, Suarez JI, Tjoumakaris SI, Welch BG. 2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association. Stroke. 2023; 54(7): e314–e370. https://doi.org/10.1161/STR.0000000000000436.
  • Chowdhury S, Bindra A, Dube S. Navigating through the paradox of choice: prediction of outcome in aneurysmal subarachnoid hemorrhage. Anaesthesiol Intensive Ther. 2024; 56(1): 89–90. https://doi.org/10.5114/ait.2024.136026.
  • Ran KR, Wang AC, Nair SK, Akça O, Xu R. Acute Multidisciplinary Management of Aneurysmal Subarachnoid Hemorrhage (aSAH). Balkan Med J. 2023; 40(2): 74–81. https://doi.org/10.4274/balkanmedj.galenos.2023.2023-1-100.
  • Svedung Wettervik T, Hånell A, Ronne-Engström E, Lewén A, Enblad P. Temperature Changes in Poor-Grade Aneurysmal Subarachnoid Hemorrhage: Relation to Injury Pattern, Intracranial Pressure Dynamics, Cerebral Energy Metabolism, and Clinical Outcome. Neurocrit Care. 2023; 39(1): 145–154. https://doi.org/10.1007/s12028-023-01699-0.
  • Uzunay H, Selvi F, Bedel C, Karakoyun OF. Comparison of ETCO2 Value and Blood Gas PCO2 Value of Patients Receiving Non-invasive Mechanical Ventilation Treatment in Emergency Department. SN Compr. Clin. Med. 2021; 3: 1717–1721. https://doi.org/10.1007/s42399-021-00935-y.
  • Hamedani AG, Thibault D, Willis AW. Seasonal Variation in Neurologic Hospitalizations in the United States. Ann Neurol. 2023; 93(4): 743–751. https://doi.org/10.1002/ana.26579.
  • Illy E, Gerss J, Fischer BR, Stummer W, Brokinkel B, Holling M. Influence of Meteorological Conditions on the Incidence of Chronic Subdural Haematoma, Subarachnoid and Intracerebral Haemorrhages – the "Bleeding Weather Hypothesis". Turk Neurosurg. 2020; 30(6): 892–898. https://doi.org/10.5137/1019-5149.JTN.29821-20.2.
  • Gill RS, Hambridge HL, Schneider EB, Hanff T, Tamargo RJ, Nyquist P. Falling temperature and colder weather are associated with an increased risk of aneurysmal subarachnoid hemorrhage. World Neurosurg. 2013; 79(1): 136–42. https://doi.org/10.1016/j.wneu.2012.06.020.
  • Yao DX, Liu YB, Wu QM, Guo N, Pan F, Yu HL. Temperature decline is a trigger of subarachnoid hemorrhage: case-crossover study with distributed lag model. Eur Rev Med Pharmacol Sci. 2020; 24(10): 5633–5643. https://doi.org/10.26355/eurrev_202005_21354.
  • Lavinio A, Andrzejowski J, Antonopoulou I, Coles J, Geoghegan P, Gibson K, Gudibande S, Lopez-Soto C, Mullhi R, Nair P, Pauliah VP, Quinn A, Rasulo F, Ratcliffe A, Reddy U, Rhodes J, Robba C, Wiles M, Williams A. Targeted temperature management in patients with intracerebral haemorrhage, subarachnoid haemorrhage, or acute ischaemic stroke: updated consensus guideline recommendations by the Neuroprotective Therapy Consensus Review (NTCR) group. Br J Anaesth. 2023; 131(2): 294–301. https://doi.org/10.1016/j.bja.2023.04.030.
  • Fukuda H, Ninomiya H, Ueba Y, Ohta T, Kaneko T, Kadota T, Hamada F, Fukui N, Nonaka M, Watari Y, Nishimoto S, Fukuda M, Hayashi S, Izumidani T, Nishimura H, Moriki A, Lo B, Ueba T. Impact of temperature decline from the previous day as a trigger of spontaneous subarachnoid hemorrhage: case-crossover study of prefectural stroke database. J Neurosurg. 2019; 133(2): 374–382. https://doi.org/ 10.3171/2019.4.JNS19175.
  • Kockler M, Schlattmann P, Walther M, Hagemann G, Becker PN, Rosahl S, Witte OW, Schwab M, Rakers F. Weather conditions associated with subarachnoid hemorrhage: a multicenter case-crossover study. BMC Neurol. 2021; 21(1): 283. https://doi.org/10.1186/s12883-021-02312-7.
  • Cowperthwaite MC, Burnett MG. The association between weather and spontaneous subarachnoid hemorrhage: an analysis of 155 US hospitals. Neurosurgery. 2011; 68(1): 132–138; discussion 138–139. https://doi.org/10.1227/NEU.0b013e3181fe23a1.
  • Vasquez HE, Prasad L, Moscote-Salazar LR, Agrawal A. Atmospheric variables and subarachnoid hemorrhage: narrative review. Egyptian Journal of Neurosurgery. 2021; 36: 1–5. https://doi.org/10.1186/s41984-021-00102-4.
  • Balbi M, Koide M, Schwarzmaier SM, Wellman GC, Plesnila N. Acute changes in neurovascular reactivity after subarachnoid hemorrhage in vivo. JCBFM. 2017; 37(1): 178–187. https://doi.org/10.1177/0271678X15621253.
  • Lai PM, Dasenbrock H, Du R. The association between meteorological parameters and aneurysmal subarachnoid hemorrhage: a nationwide analysis. PLoS One. 2014; 9(11): e112961. https://doi.org/10.1371/journal.pone.0112961.
  • de Steenhuijsen Piters WA, Algra A, van den Broek MF, Dorhout Mees SM, Rinkel GJ. Seasonal and meteorological determinants of aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. J Neurol. 2013; 260(2): 614–619. https://doi.org/10.1007/s00415-012-6687-z.
  • McDonald RJ, McDonald JS, Bida JP, Kallmes DF, Cloft HJ. Subarachnoid hemorrhage incidence in the United States does not vary with season or temperature. Am J Neuroradiol. 2012; 33(9): 1663–1668. https://doi.org/10.3174/ajnr.A3059.
  • Huang Q, Lin SW, Hu WP, Li HY, Yao PS, Sun Y, Zeng YL, Huang QY, Kang DZ, Wu SY. Meteorological variation is a predisposing factor for aneurismal subarachnoid hemorrhage: a 5-year multicenter study in Fuzhou, China. World Neurosurgery. 2019; 132: e687-e695. https://doi.org/10.1016/j.wneu.2019.08.048.