Evidence map›Paper›PMID 32034439›Full record

ArticleNeuroradiology2020

Endovascular aneurysm closure during out of office hours is not related to complications or outcome.

Jasper H van Lieshout, Dagmar Verbaan, Igor Fischer, Hendrik-Jan Mijderwijk, René van den Berg, W Peter Vandertop, Catharina J M Klijn, Hans J Steiger, Joost de Vries, Ronald H M A Bartels and 2 more

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Article in Neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Jasper H van LieshoutDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany. Jasper.vanLieshout@med.uni-duesseldorf.de.ORCID http://orcid.org/0000-0001-9870-2040
Dagmar VerbaanNeurosurgical Center Amsterdam, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
Igor FischerDivisions of Informatics and Statistics, Department of Neurosurgery, University Clinic Düsseldorf, Düsseldorf, Germany.
Hendrik-Jan MijderwijkDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.
René van den BergDepartments of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
W Peter VandertopNeurosurgical Center Amsterdam, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
Catharina J M KlijnDepartment of Neurology and Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands.
Hans J SteigerDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.
Joost de VriesDepartment of Neurosurgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Ronald H M A BartelsDepartment of Neurosurgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Kerim BeseogluDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.
Hieronymus D BoogaartsDepartment of Neurosurgery, Radboud University Medical Center, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA possible disadvantage of endovascular occlusion outside work hours is that complex procedures might expose patients to additional risk when performed in a suboptimal setting. In this prospective cohort study, we evaluated whether treatment during out of office hours is a risk factor for per-procedural complications and clinical outcome.

methodsWe included 471 endovascular-treated, consecutive aneurysmal subarachnoid hemorrhage patients (56.6 ± 13.1, 69% female), from two prospective observational databases which were retrospectively analyzed. Primary outcome was the occurrence of per-procedural complications. Secondary outcomes were good clinical outcome (modified ranking scale ≤ 2) and death at 6-month follow-up. We determined odds ratios (OR) with 95% confidence intervals (CI) by ordered polytomous logistic regression analysis and adjusted odds ratios (aOR) for age, World Federation of Neurosurgical Societies grade, and time to treatment.

resultsMost patients were treated during office hours (363/471; 77.1%). Treatment during out of office hours did not result in an increased risk of per-procedural complications (OR 0.85 (95% CI 0.53-1.37; p = 0.51). Patients treated during out of office hours displayed similar odds of good clinical outcome and death after 6 months (OR 1.14, 95% CI 0.68-1.97 and 1.16 95% CI 0.56-2.29, respectively) compared to patients treated during office hours.

conclusionIn our study, endovascular coil embolization during out of office hours did not expose patients to an increased risk of procedural complications or affect functional outcome after 6 months.

Indexed as

After-Hours CareEmbolization, TherapeuticQuality of Health CareAneurysm, RupturedFemaleHumansMaleMiddle AgedProspective StudiesRegistriesRisk FactorsSubarachnoid HemorrhageAneurysmal subarachnoid hemorrhageCohort studyOutcome researchPatient safetyRisk factors in epidemiology

Identifiers

PMID32034439
PMCPMC7244454

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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.