Evidence map›Paper›PMID 37141265›Full record

ArticlePloS one2023

Aneurysmal subarachnoid hemorrhage in pregnancy: National trends of treatment, predictors, and outcomes.

Kasra Khatibi, Hamidreza Saber, Smit Patel, Lucido Luciano Ponce Mejia, Naoki Kaneko, Viktor Szeder, May Nour, Reza Jahan, Satoshi Tateshima, Geoffrey Colby and 2 more

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

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Kasra KhatibiDepartment of Neurosurgery, University of Southern California, Los Angeles, CA, United States of America.ORCID 0000-0001-9413-2300
Hamidreza SaberDepartment of Neurology, University of Texas at Austin, Austin, TX, United States of America.
Smit PatelDepartment of Neurology, University of California Los Angeles, Los Angeles, CA, United States of America.
Lucido Luciano Ponce MejiaDepartment of Neurosurgery, Louisiana State University, New Orleans, LA, United States of America.
Naoki KanekoDepartment of Radiology, University of California Los Angeles, Los Angeles, CA, United States of America.
Viktor SzederDepartment of Radiology, University of California Los Angeles, Los Angeles, CA, United States of America.
May NourDepartment of Neurology, University of California Los Angeles, Los Angeles, CA, United States of America.
Reza JahanDepartment of Radiology, University of California Los Angeles, Los Angeles, CA, United States of America.
Satoshi TateshimaDepartment of Radiology, University of California Los Angeles, Los Angeles, CA, United States of America.
Geoffrey ColbyDepartment of Neurosurgery, University of California Los Angeles, Los Angeles, CA, United States of America.
Gary DuckwilerDepartment of Radiology, University of California Los Angeles, Los Angeles, CA, United States of America.
Yalda AfsharDepartment of Obstetrics and Gynecology, University of California Los Angeles, Los Angeles, CA, United States of America.ORCID 0000-0003-3807-7022
University of California, Los Angeles · USLouisiana State University · USThe University of Texas at Austin · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAneurysmal subarachnoid hemorrhage (aSAH) is a rare event associated with significant pregnancy-associated maternal and neonatal morbidity and mortality. The optimal treatment strategy and clinical outcome of aSAH in pregnancy remains unclear. We aimed to investigate the treatment utilizations and outcomes of aSAH in pregnant people.

methodsUsing the 2010-2018 National Inpatient Sample, we identified all birth hospitalizations of women between ages of 18 to 45 associated with subarachnoid hemorrhage and aneurysm treatment were included. Multivariate analyses were used to evaluate the effect of pregnancy state, mode of treatment of aneurysms, severity of subarachnoid hemorrhage on mortality and discharge destination of this cohort. Trends in mode of treatment utilized for aneurysmal treatment in this time interval was evaluated.

results13,351 aSAH with treatment were identified, of which 440 were associated with pregnancy. There was no significant difference in mortality or rate of discharge to home in pregnancy related hospitalization. Worse aSAH severity, chronic hypertension, and smaller hospital size was associated with significantly higher rate of mortality from aSAH during pregnancy. Worse aSAH severity was associated with lower rate of discharge to home. Like the non-pregnant cohort, the treatment of ruptured aneurysms in pregnancy are increasingly through endovascular approaches. The mode of treatment does not change the mortality or discharge destination.

conclusionsPregnancy does not alter mortality or the discharge destination for aSAH. Ruptured aneurysms during pregnancy are increasingly treated endovascularly. Mode of aneurysm treatment does not affect mortality or discharge destination in pregnancy.

Indexed as

Aneurysm, RupturedIntracranial AneurysmSubarachnoid HemorrhageCohort StudiesFemaleHospitalizationHumansInfant, NewbornPregnancyRetrospective StudiesTreatment Outcome

Identifiers

PMID37141265
PMCPMC10159186
OpenAlexW4368361610

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.