Evidence map›Paper›PMID 30410524›Full record

ArticleInterventional neurology2018

Incidence of Aneurysmal Subarachnoid Hemorrhage with Procedures Requiring General Anesthesia in Patients with Unruptured Intracranial Aneurysms.

Hesham Masoud, Vijaylakshmi Nair, Adekorewale Odulate-Williams, Sameer Sharma, Grahame Gould, Joshua Thatcher, Thanh N Nguyen

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Interventional neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 90% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Hesham MasoudSUNY Upstate Medical University, Upstate University Hospital, Syracuse, New York, USA.
Vijaylakshmi NairSUNY Upstate Medical University, Upstate University Hospital, Syracuse, New York, USA.
Adekorewale Odulate-WilliamsSUNY Upstate Medical University, Upstate University Hospital, Syracuse, New York, USA.
Sameer SharmaSUNY Upstate Medical University, Upstate University Hospital, Syracuse, New York, USA.
Grahame GouldSUNY Upstate Medical University, Upstate University Hospital, Syracuse, New York, USA.
Joshua ThatcherBoston University School of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Thanh N NguyenBoston University School of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Upstate University Hospital · USBoston Medical Center · USBoston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of general anesthesia in precipitating aneurysm rupture is not clearly defined. In this study, we aimed to assess the natural history of unruptured aneurysms in patients undergoing non-aneurysm-related procedures requiring general anesthesia.

methodsRetrospective review of consecutive patients with untreated intracranial aneurysms that underwent unrelated surgery with operative note documentation of general anesthesia. Events of intraoperative and postoperative subarachnoid hemorrhage were recorded to determine the incidence of rupture.

resultsA total of 110 patients harboring 134 unsecured aneurysms were studied. The mean age was 56.5 years (range, 17-92), and 68% were women (

conclusionIn our study, general anesthesia did not precipitate aneurysm rupture, and there were no instances of subarachnoid hemorrhage during the follow-up period. Our results suggest a benign natural history for aneurysms undergoing unrelated general anesthesia. However, this should be interpreted with caution given limitations related to our small sample size and retrospective study design.

Indexed as

AnesthesiaCerebral aneurysmIntubationRuptureSubarachnoid hemorrhageUnruptured intracranial aneurysms

Identifiers

PMID30410524
PMCPMC6216785
OpenAlexW2883115755

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.