Incidence of Terson Syndrome in Treated Subarachnoid Hemorrhage in South Korea: a National Health Insurance Database Study

Sci Rep. 2019 Dec 13;9(1):19048. doi: 10.1038/s41598-019-55566-0.

Abstract

The aim of this study is to investigate the incidence and mortality of Terson syndrome in patients with treated subarachnoid hemorrhage (SAH) in South Korea. In this nationwide, population-based study, we used the National Health Insurance(NHI) database (2011-2015) to identify patients aged ≥18 years. Newly diagnosed non-traumatic SAH, treated using clipping or coil embolization, were identified, and Terson syndrome was defined as newly diagnosed retinal or vitreous hemorrhage within 3 months of SAH diagnosis. We identified 22,864 patients with treated SAH (tSAH), 196 of whom had Terson syndrome, with the cumulative incidence during 5 years of 0.86% (95% CI: 0.74-0.98): 1.10% (95% CI: 0.88-1.33) in men and 0.71% (95% CI, 0.58-0.85) in women. The cumulative incidence of Terson syndrome in patients aged under 40 was higher than in those aged 40 or over (1.41% vs. 0.81%; p = 0.007). The mortality rate of Terson syndrome in patients with tSAH was not different from that in those without Terson syndrome (4.08% vs. 7.30%; p = 0.089). This was the first nationwide epidemiological study of Terson syndrome using a population-based database. The incidence of Terson syndrome in patients with tSAH was higher in those age under 40 than in those aged 40 or over.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Databases, Factual*
  • Female
  • Fundus Oculi
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • National Health Programs*
  • Republic of Korea / epidemiology
  • Subarachnoid Hemorrhage / complications*
  • Subarachnoid Hemorrhage / mortality
  • Subarachnoid Hemorrhage / therapy*
  • Syndrome
  • Vitrectomy
  • Vitreous Hemorrhage / epidemiology*
  • Vitreous Hemorrhage / etiology*
  • Vitreous Hemorrhage / mortality
  • Vitreous Hemorrhage / surgery
  • Young Adult