title: Mortality and causes of death in the Familial Intracranial Aneurysm study.
abstract: BACKGROUND
  Higher mortality for patients with aneurysmal subarachnoid haemorrhage has been reported.
  
  
  OBJECTIVE
  In families with intracranial aneurysms, we sought to determine whether mortality among subjects with intracranial aneurysm (affected) was higher and related to rupture, compared with unaffected family members.
  
  
  METHODS
  Subjects enrolled in the Familial Intracranial Aneurysm protocol were contacted yearly and their status was obtained. If reported to be deceased, the cause of death was verified by available records. A Cox proportional hazards model was utilized to compare mortality rates.
  
  
  RESULTS
  Of the 2794 subjects, 1073 were affected and 1721 were unaffected. There were 8525 person-years of follow-up (mean 3·05 ± 1·73 years) and 85 deaths. Age at study entry for the affected (58·4 ± 11·9 years) was significantly older (P < 0·0001) than for the unaffected (52·2 ± 16·1). After adjusting for age, the overall mortality rate for the affected subjects was not significantly different from that for the unaffected (Rate Ratio [RR] 1·26, 95% confidence interval 0·82-1·93, P = 0·292). There was a strong effect modification due to age. The mortality rate ratio of the affected to the unaffected who were ≤60 years of age was RR = 3·48 (95% confidence interval: 1·59-7·63, P = 0·002), the rate for the affected subjects who were ≥60 was less than the rate for the unaffected (RR = 0·69, 95% confidence interval: 0·404-1·19, P = 0·178). The affected who had ruptures had 2·62 times the mortality rate as those without ruptures (95% confidence interval 1·43-4·80, P = 0·002).
  
  
  CONCLUSIONS
  The overall mortality was similar for the affected and unaffected subjects in this cohort. Among the affected only, those with ruptured intracranial aneurysm had a higher mortality rate than those without ruptured.
authors.affiliation: Department of Medicine, The University of Cincinnati College of Medicine, Cincinnati, OH, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Sauerbeck
authors.forename: Richard
authors.initials: R
authors.lastname: Hornung
authors.forename: Daniel
authors.initials: D
authors.lastname: Woo
authors.forename: Charles J
authors.initials: CJ
authors.lastname: Moomaw
authors.forename: Craig
authors.initials: C
authors.lastname: Anderson
authors.forename: E Sander
authors.initials: ES
authors.lastname: Connolly
authors.forename: Guy A
authors.initials: GA
authors.lastname: Rouleau
authors.forename: Robert D
authors.initials: RD
authors.lastname: Brown
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Broderick
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000401:mortality*; D002423:Cause of Death; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D016016:Proportional Hazards Models; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000401:mortality*