Global, Regional, and National Burden of Nontraumatic Subarachnoid Hemorrhage

Although the global age-standardized burden rates of SAH more than halved over the last 3 decades, SAH remained one of the most common cardiovascular and neurological causes of death and disabilities in the world, with increasing absolute case numbers. These findings suggest evidence for the potential health benefits of proactive public health planning and resource allocation toward the prevention of SAH.

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Journal
JAMA Neurology
Published
2025-05-23
DOI
https://doi.org/10.1001/jamaneurol.2025.1522
Citations
20
Primary Topic
Intracranial Aneurysms: Treatment and Complications
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article
Field-Weighted Citation Impact
27.79

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article

Global, Regional, and National Burden of Nontraumatic Subarachnoid Hemorrhage

Hamed Borhany, Jagadeesh Puvvula, Adnan Kısa, Giuseppe Minervini et al.
20 citations
JAMA Neurology
Intracranial Aneurysms: Treatment and Complications
27.79
article

Global, Regional, and National Burden of Nontraumatic Subarachnoid Hemorrhage

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article en
20 citations

Abstract

Although the global age-standardized burden rates of SAH more than halved over the last 3 decades, SAH remained one of the most common cardiovascular and neurological causes of death and disabilities in the world, with increasing absolute case numbers. These findings suggest evidence for the potential health benefits of proactive public health planning and resource allocation toward the prevention of SAH.

JAMA NeurologyVol. 82(8)
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Institute of Infectious Diseases (JP), National Institute of Biomedical Innovation, Health and Nutrition (JP), Colombo North Teaching Hospital (LK), Massachusetts General Hospital (US), Institute of Public Health Bengaluru (IN), Escuela Nacional de Sanidad (ES), Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR), Biotechnology Research Center (IR), University of Ha'il (SA), Laboratory for Biomedical Neurosciences (CH), World Health Organization Regional Office for the Americas (US), Fred Hutch Cancer Center (US), London School of Hygiene & Tropical Medicine (GB), Krishna Institute of Medical Sciences (IN), Université Sorbonne Paris Nord (FR), Sorbonne Paris Cité (FR), Indira Gandhi Medical College and Research Institute (IN), Agios Pharmaceuticals (United States) (US), Methodist Hospital (US), Cabrini Hospital (AU), Jawaharlal Nehru Medical College (IN), MultiMedica (IT), Hospital de Clínicas de Porto Alegre (BR), Gonabad University of Medical Sciences (IR), Baptist Health South Florida (US), Ethiopian Public Health Institute (ET), The World Academy of Sciences (IT), Zimmer Biomet (Germany) (DE), InSysBio (Russia) (RU), Centre Hospito Universitaire de Sétif (DZ), National Institute of Epidemiology (IN), Institute of Biomedical Problems (RU), Universidad de Las Américas (EC), Tianjin Centers for Disease Control and Prevention (CN), Dr. D.Y. Patil Vidyapeeth, Pune (IN), University North (HR), Universal Scientific Education and Research Network (IR), Istituto di Fisiologia Clinica (IT), National Heart, Lung, and Blood Institute (US), Sina Hospital (IR), Methodist Hospital (US), The George Institute for Global Health (AU), National Cerebral and Cardiovascular Center (JP), KK Women's and Children's Hospital (SG), Bangladesh University of Health Sciences (BD), Children's Medical Center (IR), University of the Coast (CO), Ospedale “M. Bufalini” di Cesena (IT), Wollo University (ET), NIHR Leeds Musculoskeletal Biomedical Research Unit (GB), National Center for Chronic and Noncommunicable Disease Control and Prevention (CN), Shriram Institute for Industrial Research (IN), Rama Hospital & Research Centre (IN), Shifa International Hospital (PK), Singapore Eye Research Institute (SG), Don Carlo Gnocchi Foundation (IT), All India Institute of Medical Sciences Bhubaneswar (IN), Federal Medical Centre (NG), Beijing Xuanwu Traditional Chinese Medicine Hospital (CN), Essen University Hospital (DE), Centre for Chronic Disease Control (IN), Ministry of Health and Welfare (TW), Istituto Ortopedico Rizzoli (IT), Employees' State Insurance Model Hospital (IN), Medical University of Lodz (PL), Academy of Sciences Malaysia (MY), BLK Super Speciality Hospital (IN), Institute of Liver and Biliary Sciences (IN), Institute of Human Virology (NG), Capital and Coast District Health Board (NZ), UK Dementia Research Institute (GB), Fondation de Rothschild (FR), Instituto Nacional de Salud Pública (MX), Parc Sanitari Sant Joan de Déu (ES), St. John's National Academy of Health Sciences (IN), Datta Meghe Institute of Higher Education and Research (IN), Ministry of Health (OM), Zahedan University of Medical Sciences (IR), Institute for Molecular Medicine Finland (FI), Universitas Muhammadiyah Kupang (ID), Xiamen University Malaysia (MY), IRCCS Istituto Auxologico Italiano (IT), Iranian Center for Quantum Technologies (IR), Northern Jiangsu People's Hospital (CN), Argentine Water and Sanitation (Argentina) (AR), Torrens University Australia (AU), Health Data Research UK (GB), University of Pennsylvania Health System (US), Polish Mother’s Memorial Hospital Research Institute (PL), Perron Institute for Neurological and Translational Science (AU), Region Skåne (SE), Mayo Clinic in Florida (US), South Eastern Sydney Local Health District (AU), National Center of Cardiology and Internal Medicine (KG), National Public Health Organization (GR), Jos University Teaching Hospital (NG), National University Health System (SG), Instituto Nacional de Salud (CO), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Semnan University of Medical Sciences (IR), National Research Council (IT), Sparta Cancer Center (US), Govind Ballabh Pant Hospital (IN), Neurological Surgery (US), Research Center of Neurology (RU), Nigeria Centre for Disease Control (NG), St. Paul's Hospital Millennium Medical College (ET), St. Christopher's Hospital for Children (US), Beaumont Hospital, Troy (US), Azienda Sanitaria Universitaria Integrata di Trieste (IT), Hallym University Chuncheon Sacred Heart Hospital (KR), Merrill (United States) (US), Fondazione IRCCS Istituto Neurologico Carlo Besta (IT), October 6 University (EG), Centre for Sight (IN), Urho Kaleva Kekkonen Institute (FI), University of Toyama (JP), Arba Minch University (ET), Hebei University (CN), University of Southampton (GB), Kasturba Medical College, Mangalore (IN), University of Medical Sciences, Ondo, Can Tho University of Medicine and Pharmacy, ACT Government (AU), Federal University Dutse, Wachemo University, Universitas 'Aisyiyah Yogyakarta, Urmia University of Medical Sciences (IR), Sunnybrook Research Institute, Wuhan University of Science and Technology (CN), Corewell Health, All India Institute of Medical Sciences, Nagpur (IN), Non-Communicable Diseases Research Center, University of Bergen (NO), Doon University (IN), University College London (GB), Addis Ababa University (ET), Obafemi Awolowo University (NG), Salahaddin University-Erbil (IQ), University of Manitoba (CA), University of Kufa (IQ), Imperial College London (GB), Taipei Medical University (TW), Hamad Medical Corporation (QA), Universidade Federal do Espírito Santo (BR), Panjab University (IN), University of Rochester (US), BRAC University (BD), Usmanu Danfodiyo University (NG), Sam Ratulangi University (ID), The University of Texas Medical Branch at Galveston (US), Arizona State University (US), Indiana University – Purdue University Indianapolis (US), University of Tartu (EE), Lebanese American University (LB), Mid Sweden University (SE), Monash University (AU), Bahir Dar University (ET), New York University (US), North Dakota State University (US), Ajou University (KR), Shahid Beheshti University of Medical Sciences (IR), Case Western Reserve University (US), University of Nebraska Medical Center (US), Jamia Millia Islamia (IN), K S Hegde Medical Academy (IN), University of Duhok (IQ), Qatar University (QA), Nazarbayev University (KZ), IMU University (MY), United International University (BD), Western Sydney University (AU), All India Institute of Medical Sciences (IN), University of Benin (NG), University of Maiduguri (NG), University of Milano-Bicocca (IT), Martin Luther University Halle-Wittenberg (DE), Near East University (CY), Tehran University of Medical Sciences (IR), Utkal University (IN), Babol University of Medical Sciences (IR), King Abdullah University of Science and Technology (SA), Coventry University (GB), Chitkara University (IN), Rajarata University of Sri Lanka (LK), Public Health Foundation of India (IN), The University of Tokyo (JP), National Yunlin University of Science and Technology (TW), Zhejiang University (CN), Kharkiv National Medical University (UA), Kasturba Medical College, Manipal (IN), Imam Abdulrahman Bin Faisal University (SA), Albany Medical Center Hospital (US), Aksum University (ET), Columbia University (US), Charité - Universitätsmedizin Berlin (DE), University of Glasgow (GB), Yangzhou University (CN), Punjabi University (IN), University of Pennsylvania (US), University of Birmingham (GB), Pomeranian Medical University (PL), University of Otago (NZ), Ludwig-Maximilians-Universität München (DE), RMIT University (AU), King Khalid University (SA), Alexandria University (EG), Sungkyunkwan University (KR), University College of Bahrain (BH), Saveetha University (IN), Yarmouk University (JO), James Cook University (AU), MedStar Health (US), Rafsanjan University of Medical Sciences (IR), University of Gondar (ET), Mazandaran University of Medical Sciences (IR), Ras al-Khaimah Medical and Health Sciences University (AE), Bucharest University of Economic Studies (RO), National University of Malaysia (MY), University of Rajshahi (BD), Olusegun Agagu University of Science and Technology (NG), Universidad Europea de Madrid (ES), University of Colombo (LK), University of New England (AU), Universidad Diego Portales (CL), Erasmus University Rotterdam (NL), Jazan University (SA), Universidad de Colima (MX), National Cheng Kung University (TW), Padjadjaran University (ID), The University of Texas Health Science Center at Houston (US), Bayero University Kano (NG), National University of Sciences and Technology (PK), University of Bologna (IT), Ottawa University (US), University of KwaZulu-Natal (ZA), University of California, Berkeley (US), Indian Institute of Technology Mandi (IN), Birjand University of Medical Sciences (IR), Universitat Politècnica de Catalunya (ES), Stanford University (US), McMaster University (CA), The University of Osaka (JP), University of Oulu (FI), University of Edinburgh (GB), Icahn School of Medicine at Mount Sinai (US), KU Leuven (BE)
U.S. Department of Veterans Affairs, Bill and Melinda Gates Foundation, American Heart Association, Eli Lilly and Company, Pfizer, AstraZeneca, Brigham and Women's Hospital, Massachusetts General Hospital, Yale University, Teva Pharmaceutical Industries, North Dakota State University, Alexion Pharmaceuticals, Brown University, University of Nebraska Medical Center, University of Miami, University of Pennsylvania, Emory University, Northwestern University, Harvard University, University of Minnesota, Washington University in St. Louis, Harvard Business School, Cleveland Clinic, Arizona State University, University of Connecticut, University of Washington, Johns Hopkins University, Georgetown University, Case Western Reserve University, Dartmouth College, CSL Behring, East Carolina University, University of Montana, Brody School of Medicine, Deutsches Krebsforschungszentrum, Uniwersytet Jagielloński Collegium Medicum, University of Bern, Universiti Brunei Darussalam, Norges Teknisk-Naturvitenskapelige Universitet, Virginia Commonwealth University, Jazan University, COMSATS Institute of Information Technology, McMaster University, Queensland Health, Wellcome Trust, Lebanese American University, Sunnybrook Research Institute, Iran University of Medical Sciences, New York University Abu Dhabi, Università degli Studi di Milano, Tomsk Polytechnic University, University of Cyprus, BioCryst, ACT Government, Houston Methodist Hospital, University of Massachusetts Dartmouth, University of Agriculture, Peshawar, Istituto di Ricerche Farmacologiche Mario Negri - IRCCS, Agios Pharmaceuticals, Applied Science Private University, National Cerebral and Cardiovascular Center, Ahmadu Bello University, Trường Đại học Duy Tân, Janssen Scientific Affairs, University of Kufa, Rafsanjan University of Medical Sciences, Jamia Millia Islamia, Salahaddin University-Erbil, Universidad de Colima, Chandigarh University, United International University, Kasturba Medical College, Manipal, Saveetha Dental College, Universidad Europea de Madrid, Adamas University, Government of Canada, York University, University of Southampton, University of Warwick, Imperial College London, King's College London, University College London, University of Oxford, University of Leeds, European Commission, University of Glasgow, Cardiff University, University of Bristol, National Heart Foundation of Australia, La Trobe University, University of Tasmania, Coventry University, National University of Singapore, Indian Council of Medical Research, Public Health Foundation of India, Amity University, Singapore Eye Research Institute, Keio University, Ministry of Education, Culture, Sports, Science and Technology, Rijksuniversiteit Groningen, Charles Sturt University, University of New England, University of New South Wales, Monash University, Flinders University, Griffith University, James Cook University, Queensland University of Technology, University of Queensland, Curtin University of Technology, University of Canberra, Universiteit Utrecht, Public Health England, Ain Shams University, King Saud University, Cairo University, Seoul National University, Ajou University, Hallym University, Korea University, Sungkyunkwan University, Islamic Azad University, Universidad Nacional de Colombia, Fondazione Cariplo, Generalitat de Catalunya, Chulalongkorn University, Ministero della Salute, Fudan University, University of Toronto, Conselho Nacional de Desenvolvimento Científico e Tecnológico, Isfahan University of Medical Sciences, Jordan University of Science and Technology, KU Leuven, Karolinska Institutet, King Abdullah University of Science and Technology, King Abdulaziz University, Mazandaran University of Medical Sciences, Novo Nordisk, Qatar University, Shiraz University of Medical Sciences, Tabriz University of Medical Sciences, Universiti Malaya, Universiteit Stellenbosch, Tehran University of Medical Sciences and Health Services, University of Waterloo, Università di Catania, Universiti Kebangsaan Malaysia, Universiti Putra Malaysia, Kerman University of Medical Sciences, Inyuvesi Yakwazulu-Natali, Taipei Medical University, Katolicki Uniwersytet Lubelski Jana Pawla II, Mashhad University of Medical Sciences, Zahedan University of Medical Sciences, Chinese University of Hong Kong, Instituto Mexicano del Seguro Social, Shahrekord University, Asia University, Universitetet i Bergen, Jimma University, Shiraz University, Universitair Medisch Centrum Groningen, Rigshospitalet, Birjand University of Medical Sciences, National and Kapodistrian University of Athens, Universidad de Antioquia, Mittuniversitetet, Turun Yliopisto, Universidade de São Paulo, Uniwersytet Łódzki, University of Jordan, Babol University of Medical Sciences, Ludwig-Maximilians-Universität München, Università Cattolica del Sacro Cuore, Shahrekord University of Medical Sciences, Chitkara University, Högskolan Dalarna, Shahid Beheshti University of Medical Sciences, Bahir Dar University, Università di Bologna, Bangladesh University of Health Sciences, Ateneo de Manila University, United Arab Emirates University, Oulun Yliopisto, Università degli Studi dell'Aquila, Universitas Indonesia, Medical University - Varna, National Taiwan Normal University, Aristotle University of Thessaloniki, National Taiwan University, University of Tsukuba, Federation University Australia, Umm Al-Qura University, Universidade do Porto, Yangzhou University, Universidade Federal de Santa Catarina, University of Isfahan, Zagazig University, Urmia University, China Medical University, Universitatea din București, Universidade Federal de Minas Gerais, Universidade Federal de Juiz de Fora, Shaqra University, Universitatea de Medicină şi Farmacie "Carol Davila" Bucureşti, Istituto Ortopedico Rizzoli di Bologna, National Cheng Kung University, University of Tabriz, Tartu Ülikool, University of Gondar, Universität zu Köln, Nanjing University of Information Science and Technology, Nanjing University, Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta, Zanjan University of Medical Sciences, Universidade Federal do Rio de Janeiro, Universitas Airlangga, Pomorski Uniwersytet Medyczny W Szczecinie, National Institute of Technology Rourkela, University of Zanjan, Xiamen University, Mansoura University, Harokopio University, International Medical University, Istituto Auxologico Italiano, University of Colombo, Alexandria University, Śląski Uniwersytet Medyczny w Katowicach, Fakultet Medicinskih Nauka, Univerziteta U Kragujevcu, National Development and Reform Commission, University of Thessaly, Indian Institute of Technology Mandi, Marga und Walter Boll-Stiftung, Rajarata University of Sri Lanka, University of Kelaniya, Chettinad Academy of Research and Education, Turun Yliopistollinen Keskussairaala, Gonabad University of Medical Sciences, Swedish Orphan Biovitrum, China Medical University, Taiwan, H. Lundbeck A/S, Kurdistan University Of Medical Sciences, I.M. Sechenov First Moscow State Medical University, Universitat Politècnica de Catalunya, Patuakhali Science and Technology University, Baker Heart and Diabetes Institute, Management and Science University, Imam Abdulrahman Bin Faisal University, Uniwersytet Śląski w Katowicach, University of Nizwa, Applied Molecular Biosciences Unit, Jenderal Soedirman University, Universitas Padjadjaran, Central University of Kerala, Rajshahi University, Urmia University of Medical Sciences, UK Dementia Research Institute, Hong Kong Government, Western Sydney University, Moscow Institute of Physics and Technology, Universitas Sam Ratulangi, Alfaisal University, Pirogov Russian National Research Medical University, Ajman University, National Institutes of Biomedical Innovation, Health and Nutrition, Riphah International University, Wachemo University, University of Health and Allied Sciences, National Institutes of Health, Directorate for Biological Sciences, University of Illinois at Urbana-Champaign, School of Life Sciences, Arizona State University, University of Texas MD Anderson Cancer Center, University of California, San Diego, Leonard M. Miller School of Medicine, School of Medicine, Indiana University, Holden Comprehensive Cancer Center, University of Iowa, Pan American Health Organization, School of Medicine, Johns Hopkins University, Lerner Research Institute, Cleveland Clinic, Leonard M. Miller School of Medicine, University of Miami, Houston Methodist Research Institute, Department of Medicine, Georgetown University, Canadian Institutes of Health Research, Japan Society for the Promotion of Science, Japan Science and Technology Agency, Russian Academy of Sciences, Warwick Medical School, Instituto de Salud Carlos III, College of Medicine and Health Sciences, United Arab Emirates University, Biomedical Research Council, Helmholtz Zentrum München, School of Public Health, Imperial College London, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Dipartimento di Medicina e Chirurgia, Università degli Studi di Milano-Bicocca, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Temerty Faculty of Medicine, University of Toronto, Faculty of Medicine and Health, University of Sydney, Norwegian Institute of Public Health, Student Research Committee, Tabriz University of Medical Sciences, National Heart, Lung, and Blood Institute, National Institute of Neurological Disorders and Stroke, Division of Mathematical Sciences, Division of Human Resource Development, Precursory Research for Embryonic Science and Technology
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Intracranial Aneurysms: Treatment and Complications
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