Download PDF
J Neurol Surg A Cent Eur Neurosurg 2017; 78(03): 238-244
DOI: 10.1055/s-0036-1594308
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Effects of Meteorological Variables on the Incidence of Rupture of Intracranial Aneurysms in Central New Jersey

Marissa Kellogg
1   Department of Neurology, Oregon Health and Science University, Portland, Oregon, United States
,
Dimitriy Petrov
2   Department of Neurological Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Nitin Agarwal
3   Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Nitesh V. Patel
4   Deparment of Neurological Surgery, New Jersey Medical School, Newark, New Jersey, United States
,
David Richard Hansberry
5   Department of Radiology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, United States
,
Prateek Agarwal
2   Department of Neurological Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Michael Brimacombe
6   Department of Biostatistics, Kansas University Medical Center, Kansas City, Kansas, United States
,
Chirag D. Gandhi
4   Deparment of Neurological Surgery, New Jersey Medical School, Newark, New Jersey, United States
,
Charles Prestigiacomo
4   Deparment of Neurological Surgery, New Jersey Medical School, Newark, New Jersey, United States
7   Department of Radiology, New Jersey Medical School, Newark, New Jersey, United States
› Author Affiliations
Further Information

Publication History

27 February 2016

09 April 2016

Publication Date:
30 November 2016 (online)

   Permissions and Reprints

Abstract

Introduction Previous studies have suggested relationships between the rupture of intracranial aneurysms and meteorological variables such as season, barometric pressure, and temperature. Our objective was to examine the relationship between the incidence of hospital admissions secondary to aneurysmal subarachnoid hemorrhage (aSAH) and meteorological variables in central New Jersey.

Methods The study population consisted of 312 patients who presented to University Hospital in Newark, New Jersey, between January 1, 2003, and December 31, 2008, with aSAH. Days in the 6-year period were classified as nonbleed days (no aSAH), bleed days (one or more aSAHs within 1 calendar day), cluster days (two or more aSAHs within 2 calendar days), and multiple-bleed days (two or more aSAHs within 1 calendar day).

Results The only significant meteorological risk factor for the occurrence of multiple-bleed days was high barometric pressure (1018.5 versus 1016.5 millibars [mbars]; p < 0.04), but an increase in barometric pressure (+ 2.8 mbars) over the 2 days prior to the multiple-bleed day, although not statistically significant, may be a risk factor (p < 0.09). Barometric pressure was also noted to be increased on bleed days (1017.2 versus 1016.5 mbars) and cluster days (1017.7 versus 1016.5 mbars), but this relationship was not significant (p < 0.1 and p < 0.1, respectively). Although aSAH days demonstrated consistently lower temperatures than non-aSAH days and dropping temperatures were consistently found in the days preceding the aSAH, these relationships were not significant.

Conclusion Among meteorological factors, high barometric pressure and low temperature may be risk factors for the onset of aSAH.

Keywords

meteorological variables - barometric pressure - temperature - aneurysm - subarachnoid hemorrhage
 

  • References

  • 1 Chyatte D, Chen TL, Bronstein K, Brass LM. Seasonal fluctuation in the incidence of intracranial aneurysm rupture and its relationship to changing climatic conditions. J Neurosurg 1994; 81 (4) 525-530
    CrossrefPubMedGoogle Scholar
  • 2 Gallerani M, Portaluppi F, Maida G , et al. Circadian and circannual rhythmicity in the occurrence of subarachnoid hemorrhage. Stroke 1996; 27 (10) 1793-1797
    CrossrefPubMedGoogle Scholar
  • 3 Inagawa T. Seasonal variation in the incidence of aneurysmal subarachnoid hemorrhage in hospital- and community-based studies. J Neurosurg 2002; 96 (3) 497-509
    CrossrefPubMedGoogle Scholar
  • 4 Jehle D, Moscati R, Frye J, Reich N. The incidence of spontaneous subarachnoid hemorrhage with change in barometric pressure. Am J Emerg Med 1994; 12 (1) 90-91
    CrossrefPubMedGoogle Scholar
  • 5 Lejeune JP, Vinchon M, Amouyel P, Escartin T, Escartin D, Christiaens JL. Association of occurrence of aneurysmal bleeding with meteorologic variations in the north of France. Stroke 1994; 25 (2) 338-341
    CrossrefPubMedGoogle Scholar
  • 6 Muroi C, Yonekawa Y, Khan N, Rousson V, Keller E. Seasonal variations in hospital admissions due to aneurysmal subarachnoid haemorrhage in the state of Zurich, Switzerland. Acta Neurochir (Wien) 2004; 146 (7) 659-665
    PubMedGoogle Scholar
  • 7 Ostbye T, Levy AR, Mayo NE ; The Canadian Collaborative Study Group of Stroke Hospitalizations. Hospitalization and case-fatality rates for subarachnoid hemorrhage in Canada from 1982 through 1991. Stroke 1997; 28 (4) 793-798
    CrossrefPubMedGoogle Scholar
  • 8 Rosenørn J, Rønde F, Eskesen V, Schmidt K. Seasonal variation of aneurysmal subarachnoid haemorrhage. Acta Neurochir (Wien) 1988; 93 (1–2): 24-27
    CrossrefPubMedGoogle Scholar
  • 9 Vinall PE, Maislin G, Michele JJ, Deitch C, Simeone FA. Seasonal and latitudinal occurrence of cerebral vasospasm and subarachnoid hemorrhage in the Northern Hemisphere. Epidemiology 1994; 5 (3) 302-308
    CrossrefPubMedGoogle Scholar
  • 10 Inagawa T, Aoki H, Ishikawa S, Takahashi M, Yoshimoto H. Aneurysmal subarachnoid hemorrhage in Izumo City and Shimane Prefecture of Japan: seasonal variation. . Hiroshima J Med Sci Mar 1988; 37 (1) 17-18
    PubMedGoogle Scholar
  • 11 Inagawa T, Takechi A, Yahara K , et al. Primary intracerebral and aneurysmal subarachnoid hemorrhage in Izumo City, Japan. Part I: Incidence and seasonal and diurnal variations. J Neurosurg 2000; 93 (6) 958-966
    CrossrefPubMedGoogle Scholar
  • 12 Rothwell PM, Wroe SJ, Slattery J, Warlow CP. Is stroke incidence related to season or temperature? The Oxfordshire Community Stroke Project. Lancet 1996; 347 (9006): 934-936
    CrossrefPubMedGoogle Scholar
  • 13 Schievink WI, Wijdicks EF, Meyer FB, Piepgras DG, Fode NC, Whisnant JP. Seasons, snow, and subarachnoid hemorrhage: lack of association in Rochester, Minnesota. J Neurosurg 1995; 82 (5) 912-913
    PubMedGoogle Scholar
  • 14 Abe T, Ohde S, Ishimatsu S , et al. Effects of meteorological factors on the onset of subarachnoid hemorrhage: a time-series analysis. J Clin Neurosci 2008; 15 (9) 1005-1010
    CrossrefPubMedGoogle Scholar
  • 15 Beseoglu K, Hänggi D, Stummer W, Steiger HJ. Dependence of subarachnoid hemorrhage on climate conditions: a systematic meteorological analysis from the Dusseldorf metropolitan area. Neurosurgery 2008; 62 (5) 1033-1038 ; discussion 1038–1039
    CrossrefPubMedGoogle Scholar
  • 16 Buxton N, Liu C, Dasic D, Moody P, Hope DT. Relationship of aneurysmal subarachnoid hemorrhage to changes in atmospheric pressure: results of a prospective study. J Neurosurg 2001; 95 (3) 391-392
    CrossrefPubMedGoogle Scholar
  • 17 Landers AT, Narotam PK, Govender ST, van Dellen JR. The effect of changes in barometric pressure on the risk of rupture of intracranial aneurysms. Br J Neurosurg 1997; 11 (3) 191-195
    CrossrefPubMedGoogle Scholar
  • 18 Law HY, Wong GK, Chan DT, Wong L, Poon WS. Meteorological factors and aneurysmal subarachnoid haemorrhage in Hong Kong. Hong Kong Med J 2009; 15 (2) 85-89
    PubMedGoogle Scholar
  • 19 Oyoshi T, Nakayama M, Kuratsu J. Relationship between aneurysmal subarachnoid hemorrhage and climatic conditions in the subtropical region, Amami-Oshima, in Japan. Neurol Med Chir (Tokyo) 1999; 39 (8) 585-590 ; discussion 590–591
    CrossrefPubMedGoogle Scholar
  • 20 Setzer M, Beck J, Hermann E , et al. The influence of barometric pressure changes and standard meteorological variables on the occurrence and clinical features of subarachnoid hemorrhage. Surg Neurol 2007; 67 (3) 264-272 ; discussion 272
    CrossrefPubMedGoogle Scholar
  • 21 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
    CrossrefPubMedGoogle Scholar
  • 22 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
    CrossrefPubMedGoogle Scholar
  • 23 Jehn M, Appel LJ, Sacks FM, Miller III ER ; DASH Collaborative Research Group. The effect of ambient temperature and barometric pressure on ambulatory blood pressure variability. Am J Hypertens 2002; 15 (11) 941-945
    CrossrefPubMedGoogle Scholar
  • 24 Modesti PA, Morabito M, Bertolozzi I , et al. Weather-related changes in 24-hour blood pressure profile: effects of age and implications for hypertension management. Hypertension 2006; 47 (2) 155-161
    CrossrefPubMedGoogle Scholar
  • 25 Kristal-Boneh E, Harari G, Green MS. Seasonal change in 24-hour blood pressure and heart rate is greater among smokers than nonsmokers. Hypertension 1997; 30 (3 Pt 1): 436-441
    CrossrefPubMedGoogle Scholar
  • 26 Kristal-Boneh E, Harari G, Green MS, Ribak J. Seasonal changes in ambulatory blood pressure in employees under different indoor temperatures. Occup Environ Med 1995; 52 (11) 715-721
    CrossrefPubMedGoogle Scholar
  • 27 Winnicki M, Canali C, Accurso V, Dorigatti F, Giovinazzo P, Palatini P. Relation of 24-hour ambulatory blood pressure and short-term blood pressure variability to seasonal changes in environmental temperature in stage I hypertensive subjects. Results of the Harvest Trial. Clin Exp Hypertens 1996; 18 (8) 995-1012
    CrossrefPubMedGoogle Scholar