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dc.contributor.authorAquilina, Annelise-
dc.contributor.authorZammit, Daniela-
dc.contributor.authorDingli, Nicola-
dc.identifier.citationAquilina, A., Zammit, D., & Dingli, N. (2019). A 5-year study on the epidemiology and outcome of patients with non-traumatic subarachnoid hemorrhage in Malta. Malta Medical Journal, 31(1), 3-10.en_GB
dc.description.abstractObjective: The aim of this study was to measure the incidence, treatment and outcome of non-traumatic Subarachnoid Haemorrhage (SAH) cases occurring in Malta during the five-year period between January 2011 and December 2015, in order to determine whether the lack of a local neurovascular service is associated with a poor outcome. Method: A retrospective analysis of adult patients (above the age of 16) diagnosed with non-traumatic SAH was carried out. The data collected included a five-year period from January 1st 2011 till December 31st 2015. Results: The incidence of SAH was estimated at 4.04 cases per 100,000 population per year. An underlying aneurysm was found to be the cause of the SAH in 69.1 % of cases investigated with CT angiography or Cerebral Angiography. In these patients, definitive management in the form of coiling or clipping of the aneurysm was carried out in the United Kingdom as part of an agreement between countries, within days. The outcome of these patients measured at 6 months using the Modified Rankin Scale (MRS) was found to be excellent. Conclusion: Despite our geographical and logistical limitations, outcomes of those patients with initial low Hunt and Hess (H+H) scores have not been affected by the lack of a local neurovascular service. Results are comparable to those of other international centres. Further studies looking into feasibility of expanding our local services are being carried out.en_GB
dc.publisherUniversity of Malta. Medical Schoolen_GB
dc.subjectSubarachnoid hemorrhage -- Maltaen_GB
dc.subjectSubarachnoid hemorrhage -- Patientsen_GB
dc.subjectAneurysms -- Etiologyen_GB
dc.subjectSubarachnoid hemorrhage -- Treatmenten_GB
dc.titleA 5-year study on the epidemiology and outcome of patients with non-traumatic subarachnoid hemorrhage in Maltaen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.publication.titleMalta Medical Journalen_GB
Appears in Collections:MMJ, Volume 31, Issue 1
MMJ, Volume 31, Issue 1

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