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

Marissa Kellogg, Dimitriy Petrov, Nitin Agarwal, Nitesh V. Patel, David Richard Hansberry, Prateek Agarwal, Michael Brimacombe, Chirag D. Gandhi, Charles Prestigiacomo

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish (US)
Article number161634oa
Pages (from-to)238-244
Number of pages7
JournalJournal of Neurological Surgery, Part A: Central European Neurosurgery
Volume78
Issue number3
DOIs
StatePublished - May 1 2017

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Intracranial Aneurysm
Subarachnoid Hemorrhage
Rupture
Incidence
Pressure
Meteorological Concepts
Temperature
Population

Keywords

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

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Effects of Meteorological Variables on the Incidence of Rupture of Intracranial Aneurysms in Central New Jersey. / Kellogg, Marissa; Petrov, Dimitriy; Agarwal, Nitin; Patel, Nitesh V.; Hansberry, David Richard; Agarwal, Prateek; Brimacombe, Michael; Gandhi, Chirag D.; Prestigiacomo, Charles.

In: Journal of Neurological Surgery, Part A: Central European Neurosurgery, Vol. 78, No. 3, 161634oa, 01.05.2017, p. 238-244.

Research output: Contribution to journalArticle

Kellogg, M, Petrov, D, Agarwal, N, Patel, NV, Hansberry, DR, Agarwal, P, Brimacombe, M, Gandhi, CD & Prestigiacomo, C 2017, 'Effects of Meteorological Variables on the Incidence of Rupture of Intracranial Aneurysms in Central New Jersey', Journal of Neurological Surgery, Part A: Central European Neurosurgery, vol. 78, no. 3, 161634oa, pp. 238-244. https://doi.org/10.1055/s-0036-1594308
Kellogg, Marissa ; Petrov, Dimitriy ; Agarwal, Nitin ; Patel, Nitesh V. ; Hansberry, David Richard ; Agarwal, Prateek ; Brimacombe, Michael ; Gandhi, Chirag D. ; Prestigiacomo, Charles. / Effects of Meteorological Variables on the Incidence of Rupture of Intracranial Aneurysms in Central New Jersey. In: Journal of Neurological Surgery, Part A: Central European Neurosurgery. 2017 ; Vol. 78, No. 3. pp. 238-244.
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T1 - Effects of Meteorological Variables on the Incidence of Rupture of Intracranial Aneurysms in Central New Jersey

AU - Kellogg, Marissa

AU - Petrov, Dimitriy

AU - Agarwal, Nitin

AU - Patel, Nitesh V.

AU - Hansberry, David Richard

AU - Agarwal, Prateek

AU - Brimacombe, Michael

AU - Gandhi, Chirag D.

AU - Prestigiacomo, Charles

PY - 2017/5/1

Y1 - 2017/5/1

N2 - 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.

AB - 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.

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KW - barometric pressure

KW - meteorological variables

KW - subarachnoid hemorrhage

KW - temperature

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