Effects in Israel of Arab and Jewish Ethnicity on Intracerebral Hemorrhage

Naaem Simaan, Andrei Filioglo, José E. Cohen, Yonatan Lorberboum, Ronen R. Leker, Asaf Honig

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Intracerebral hemorrhages (ICH) characteristics reportedly differ between different ethnic groups. We aimed to compare the characteristics of Jewish and Arab ICH patients in Israel. Consecutive patients with primary ICH were included in a prospective institutional database. Demographics, vascular risk factors, clinical and radiological parameters were compared between Arab and Jewish ICH patients residing in Jerusalem. The study included 455 patients (311 Jews). Arab patients were younger (66.1 ± 13.4 vs. 72.2 ± 12.2 years, p < 0.001) and had higher rates of diabetes (60% vs. 29%, p < 0.001) and smoking (26% vs. 11%, p < 0.001). Arab patients had higher rates of deep ICH (74% vs. 62%, p = 0.01) and lower rates of lobar ICH (18% vs. 31%, p = 0.003). In a sub-analysis of deep ICH patients only, Arab patients were younger (64.3 ± 12.9 vs. 71.4 ± 11.8 years, p < 0.001) and less frequently male (56% vs. 68%, p = 0.042), with higher rates of diabetes (61% vs. 35%, p < 0.001) and smoking (31% vs. 14%, p < 0.001). In conclusion, the two ethnic populations in Israel differ in the causes and attributes of ICH. Heavy smoking and poorly controlled diabetes are commonly associated with deep ICH in the Arab population and may offer specific targets for secondary prevention in this population.

Original languageEnglish
Article number2117
JournalJournal of Clinical Medicine
Issue number8
StatePublished - 11 Apr 2022

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© 2022 by the authors. Licensee MDPI, Basel, Switzerland.


  • Arab ethnicity
  • Jewish ethnicity
  • hypertensive arteriopathy
  • intracerebral hemorrhage


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