+ Site Statistics
References:
52,654,530
Abstracts:
29,560,856
PMIDs:
28,072,755
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Sudden unexpected death caused by stroke: A nationwide study among children and young adults in Denmark



Sudden unexpected death caused by stroke: A nationwide study among children and young adults in Denmark



International Journal of Stroke 13(3): 285-291



Background Stroke is the fifth leading cause of death in young individuals globally. Data on the burden of sudden death by stroke are sparse in the young. Aims The aim of this study was to report mortality rates, cause of death, stroke subtype, and symptoms in children and young adults who suffered sudden death by stroke. Methods We conducted a retrospective, nationwide study including all deaths within Danish borders between 2000-2009 and 2007-2009 in persons aged 1-35 years and 36-49 years, respectively. Two physicians identified all sudden death cases through review of all death certificates. All available autopsy reports and records from hospitals and general practitioners were retrieved and a neurologist identified all sudden death by stroke cases. Results Of the 14,567 deaths in the 10-year period, there were 1,698 sudden death cases, of which 52 (3%) were sudden death by stroke. There was a male predominance (56%) and the median age was 33 years. The incidence of sudden death by stroke in individuals aged 1-49 years was 0.19 deaths per 100,000 person-years. Stroke was hemorrhagic in 94% of cases, whereof subarachnoid hemorrhage was the cause of death in 63% of cases. Seventeen (33%) cases contacted the healthcare system because of neurological symptoms, whereof one was suspected of having a stroke (6%). Conclusions Sudden death by stroke in children and young adults occurs primarily due to hemorrhagic stroke. We report a high frequency of neurological symptoms prior to sudden death by stroke. Increased awareness among healthcare professionals towards stroke symptoms in children and young adults may lead to earlier detection of stroke, and thereby potentially lowering the incidence of sudden death by stroke.

(PDF emailed within 0-6 h: $19.90)

Accession: 060292944

Download citation: RISBibTeXText

PMID: 28762897

DOI: 10.1177/1747493017724625


Related references

Sudden cardiac death in young adults with previous hospital-based psychiatric inpatient and outpatient treatment: a nationwide cohort study from Denmark. Journal of Clinical Psychiatry 76(9): E1122-9, 2016

Cardiac symptoms before sudden cardiac death caused by hypertrophic cardiomyopathy: a nationwide study among the young in Denmark. Europace 18(12): 1801-1808, 2016

Epilepsy and risk of death and sudden unexpected death in the young: a nationwide study. Epilepsia 54(9): 1613-1620, 2013

Clinicopathological features of sudden unexpected infectious death: population-based study in children and young adults. Forensic Science International 220(1-3): 80-84, 2012

Symptoms Before Sudden Arrhythmic Death Syndrome: A Nationwide Study Among the Young in Denmark. Journal of Cardiovascular Electrophysiology 26(7): 761-767, 2016

Sudden cardiac death and coronary disease in the young: A nationwide cohort study in Denmark. International Journal of Cardiology 236: 16-22, 2017

Sudden death in young persons with uncontrolled asthma--a nationwide cohort study in Denmark. Bmc Pulmonary Medicine 15: 35, 2016

Decline in incidence of sudden cardiac death in the young: a 10-year nationwide study of 8756 deaths in Denmark. Europace 2019, 2019

Cardiovascular causes of sudden unexpected death in children and adolescents (0-17 years) : A nationwide autopsy study in the Netherlands. Netherlands Heart Journal 26(10): 500-505, 2018

The Long QT and Brugada syndromes: causes of unexpected syncope and sudden cardiac death in children and young adults. Seminars in Pediatric Neurology 12(1): 15-24, 2005

Sudden, unexpected and natural death in young adults of age between 18 and 35 years: a clinicopathological study. Indian Journal of Pathology and Microbiology 54(1): 47-50, 2011

Sudden unexpected nontraumatic death in 54 young adults: A 30-year population-based study. American Journal of Cardiology 76(3): 148-152, 1995

Unexpected sudden death in young adults. Nederlands Tijdschrift Voor Geneeskunde 138(24): 1248, 1994

Sudden unexpected death among young adults under the age of 30. Tidsskrift for den Norske Laegeforening 105(25): 1681-1683, 1727, 1985

Determinants of sporadic Campylobacter infections in Denmark: a nationwide case-control study among children and young adults. Clinical Epidemiology 10: 1695-1707, 2018