Intracranial Aneurysm Classifier Using Phenotypic Factors: An International Pooled Analysis Article Swipe

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Sandrine Morel , Isabel C. Hostettler , Georg Spinner , Romain Bourcier , Joanna Pera , Torstein R. Meling , Varinder S. Alg , Henry Houlden , Mark K. Bakker , Femke van’t Hof , Gabriël J.E. Rinkel , Tatiana Foroud , Dongbing Lai , Charles J. Moomaw , Bradford B. Worrall , Jildaz Caroff , Pacôme Constant-dits-Beaufils , Matilde Karakachoff , Antoine Rimbert , Aymeric Rouchaud , Emília Gaál‐Paavola , Hanna Kaukovalta , Riku Kivisaari , Aki Laakso , Behnam Rezai Jahromi , Riikka Tulamo , Christoph M. Friedrich , Jérôme Dauvillier , Sven Hirsch , Nathalie Isidor , Zsolt Kulcsár , Karl‐Olof Lövblad , Olivier Martin , Paolo Machi , Vítor Mendes Pereira , Daniel A. Rüfenacht , Karl Schaller , Sabine Schilling , Agnieszka Słowik , Juha E. Jääskeläinen , Mikael von und zu Fraunberg , Jordi Jiménez-Conde , Elisa Cuadrado‐Godia , Carolina Soriano‐Tárraga , Iona Y. Millwood , Robin Walters , Helen Kim , Richard Redon , Nerissa Ko , Guy A. Rouleau , Antti Lindgren , Mika Niemelä , Hubert Desal , Daniel Woo , Joseph P. Broderick , David J. Werring , Ynte M. Ruigrok , Philippe Bijlenga ·

YOU? · · 2022 · Open Access · · DOI: https://doi.org/10.3390/jpm12091410

Intracranial aneurysms (IAs) are usually asymptomatic with a low risk of rupture, but consequences of aneurysmal subarachnoid hemorrhage (aSAH) are severe. Identifying IAs at risk of rupture has important clinical and socio-economic consequences. The goal of this study was to assess the effect of patient and IA characteristics on the likelihood of IA being diagnosed incidentally versus ruptured. Patients were recruited at 21 international centers. Seven phenotypic patient characteristics and three IA characteristics were recorded. The analyzed cohort included 7992 patients. Multivariate analysis demonstrated that: (1) IA location is the strongest factor associated with IA rupture status at diagnosis; (2) Risk factor awareness (hypertension, smoking) increases the likelihood of being diagnosed with unruptured IA; (3) Patients with ruptured IAs in high-risk locations tend to be older, and their IAs are smaller; (4) Smokers with ruptured IAs tend to be younger, and their IAs are larger; (5) Female patients with ruptured IAs tend to be older, and their IAs are smaller; (6) IA size and age at rupture correlate. The assessment of associations regarding patient and IA characteristics with IA rupture allows us to refine IA disease models and provide data to develop risk instruments for clinicians to support personalized decision-making.

Related Topics

Medicine

Subarachnoid Hemorrhage

Concepts

Medicine Subarachnoid hemorrhage Asymptomatic Aneurysm Cohort Disease Multivariate analysis Risk factor Internal medicine Surgery

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Type: article
Language: en
Landing Page: https://doi.org/10.3390/jpm12091410
PDF: https://www.mdpi.com/2075-4426/12/9/1410/pdf?version=1661934010
OA Status: gold
Cited By: 9
References: 40
Related Works: 10
OpenAlex ID: https://openalex.org/W4293773400

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DOI: https://doi.org/10.3390/jpm12091410

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Title: Intracranial Aneurysm Classifier Using Phenotypic Factors: An International Pooled Analysis

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Type: article

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Language: en

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Publication year: 2022

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Publication date: 2022-08-30

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Authors: Sandrine Morel, Isabel C. Hostettler, Georg Spinner, Romain Bourcier, Joanna Pera, Torstein R. Meling, Varinder S. Alg, Henry Houlden, Mark K. Bakker, Femke van’t Hof, Gabriël J.E. Rinkel, Tatiana Foroud, Dongbing Lai, Charles J. Moomaw, Bradford B. Worrall, Jildaz Caroff, Pacôme Constant-dits-Beaufils, Matilde Karakachoff, Antoine Rimbert, Aymeric Rouchaud, Emília Gaál‐Paavola, Hanna Kaukovalta, Riku Kivisaari, Aki Laakso, Behnam Rezai Jahromi, Riikka Tulamo, Christoph M. Friedrich, Jérôme Dauvillier, Sven Hirsch, Nathalie Isidor, Zsolt Kulcsár, Karl‐Olof Lövblad, Olivier Martin, Paolo Machi, Vítor Mendes Pereira, Daniel A. Rüfenacht, Karl Schaller, Sabine Schilling, Agnieszka Słowik, Juha E. Jääskeläinen, Mikael von und zu Fraunberg, Jordi Jiménez-Conde, Elisa Cuadrado‐Godia, Carolina Soriano‐Tárraga, Iona Y. Millwood, Robin Walters, Helen Kim, Richard Redon, Nerissa Ko, Guy A. Rouleau, Antti Lindgren, Mika Niemelä, Hubert Desal, Daniel Woo, Joseph P. Broderick, David J. Werring, Ynte M. Ruigrok, Philippe Bijlenga

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Landing page: https://doi.org/10.3390/jpm12091410

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Concepts: Medicine, Subarachnoid hemorrhage, Asymptomatic, Aneurysm, Cohort, Disease, Multivariate analysis, Risk factor, Internal medicine, Surgery

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Cited by: 9

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