title: The Christchurch earthquake stroke incidence study.
abstract: We examined the impact of major earthquakes on acute stroke admissions by a retrospective review of stroke admissions in the 6 weeks following the 4 September 2010 and 22 February 2011 earthquakes. The control period was the corresponding 6 weeks in the previous year. In the 6 weeks following the September 2010 earthquake there were 97 acute stroke admissions, with 79 (81.4%) ischaemic infarctions. This was similar to the 2009 control period which had 104 acute stroke admissions, of whom 80 (76.9%) had ischaemic infarction. In the 6 weeks following the February 2011 earthquake, there were 71 stroke admissions, and 61 (79.2%) were ischaemic infarction. This was less than the 96 strokes (72 [75%] ischaemic infarction) in the corresponding control period. None of the comparisons were statistically significant. There was also no difference in the rate of cardioembolic infarction from atrial fibrillation between the study periods. Patients admitted during the February 2011 earthquake period were less likely to be discharged directly home when compared to the control period (31.2% versus 46.9%, p=0.036). There was no observable trend in the number of weekly stroke admissions between the 2 weeks leading to and 6 weeks following the earthquakes. Our results suggest that severe psychological stress from earthquakes did not influence the subsequent short term risk of acute stroke, but the severity of the earthquake in February 2011 and associated civil structural damages may have influenced the pattern of discharge for stroke patients.
authors.affiliation: Department of Neurology, Christchurch Hospital, Private Bag 4710, Christchurch, New Zealand; Department of Neurology, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Teddy Y
authors.initials: TY
authors.lastname: Wu
authors.affiliation: Department of General Medicine, Christchurch Hospital, Christchurch, New Zealand.
authors.forename: Jeanette
authors.initials: J
authors.lastname: Cheung
authors.affiliation: Department of General Medicine, Christchurch Hospital, Christchurch, New Zealand.
authors.forename: David
authors.initials: D
authors.lastname: Cole
authors.affiliation: Department of Neurology, Christchurch Hospital, Private Bag 4710, Christchurch, New Zealand. Electronic address: John.Fink@cdhb.health.nz.
authors.forename: John N
authors.initials: JN
authors.lastname: Fink
mesh_terms: D000368:Aged; D055866:Earthquakes; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D012189:Retrospective Studies; D013315:Stress, Psychological / Q000150:complications*; D020521:Stroke / Q000453:epidemiology* / Q000523:psychology*
keywords: Earthquake; Psychological stress; Stroke; Stroke trigger