Evidence map›Paper›PMID 38609864›Full record

Observational studyBMC anesthesiology2024

One-year survival of aneurysmal subarachnoid hemorrhage after airplane transatlantic transfer - a monocenter retrospective study.

Frédéric Martino, Antoine Fleuri, Nicolas Engrand, Amélie Rolle, Michel Piotin, Michel Carles, Delphine Delta, Laurent Do, Adrien Pons, Patrick Portecop and 5 more

Abstract readObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

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

15 authors.

Frédéric MartinoRéanimation Médicale et Chirurgicale, CHU de la Guadeloupe, Route de Chauvel, Pointe à Pitre Cedex, Guadeloupe, 97159, France. frederic.martino@chu-guadeloupe.fr.
Antoine FleuriService d'Accueil des Urgences, CHU de la Guadeloupe, Pointe à Pitre, Guadeloupe, France.
Nicolas EngrandNeuro-Intensive Care Unit - Anesthesiology, Rothschild Foundation Hospital, Paris, France.
Amélie RolleUniversité Paris Cité and Université des Antilles, INSERM, Biologie intégrée du globule rouge, Paris, France.
Michel PiotinDépartement de Neuroradiologie Interventionnelle, Hôpital de la Fondation Rothschild, Paris, France.
Michel CarlesService de Maladies Infectieuses et Tropicales, CHU de Nice, Nice, France.
Delphine DeltaService d'Accueil des Urgences, CHU de la Guadeloupe, Pointe à Pitre, Guadeloupe, France.
Laurent DoService de Neurochirurgie, CHU de la Guadeloupe, Pointe à Pitre, Guadeloupe, France.
Adrien PonsRéanimation Médicale et Chirurgicale, CHU de la Guadeloupe, Route de Chauvel, Pointe à Pitre Cedex, Guadeloupe, 97159, France.
Patrick PortecopSAMU- SMUR, CHU de la Guadeloupe, Pointe à Pitre, Guadeloupe, France.
Mathys SitcharnRéanimation Médicale et Chirurgicale, CHU de la Guadeloupe, Route de Chauvel, Pointe à Pitre Cedex, Guadeloupe, 97159, France.
Marc ValetteRéanimation Médicale et Chirurgicale, CHU de la Guadeloupe, Route de Chauvel, Pointe à Pitre Cedex, Guadeloupe, 97159, France.
Laurent CamousRéanimation Médicale et Chirurgicale, CHU de la Guadeloupe, Route de Chauvel, Pointe à Pitre Cedex, Guadeloupe, 97159, France.
Jean-David PommierRéanimation Médicale et Chirurgicale, CHU de la Guadeloupe, Route de Chauvel, Pointe à Pitre Cedex, Guadeloupe, 97159, France.
Alexandre DemouleService de Médecine Intensive - Réanimation (Département R3S), AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAneurysmal subarachnoid hemorrhage (aSAH) is preferentially treated by prompt endovascular coiling, which is not available in Guadeloupe. Subsequently, patients are transferred to Paris, France mainland, by commercial airplane (6751 km flight) after being managed according to guidelines. This study describes the characteristics, management and outcomes related to these patients.

methodsRetrospective observational cohort study of 148 patients admitted in intensive care unit for a suspected aSAH and transferred by airplane over a 10-year period (2010-2019).

resultsThe median [interquartile range] age was 53 [45-64] years and 61% were female. On admission, Glasgow coma scale was 15 [13-15], World Federation of Neurological Surgeons (WFNS) grading scale was 1 [1-3] and Fisher scale was 4 [2-4]. External ventricular drainage and mechanical ventilation were performed prior to the flight respectively in 42% and 47% of patients. One-year mortality was 16% over the study period. By COX logistic regression analysis, acute hydrocephalus (hazard ratio [HR] 2.34, 95% confidence interval [CI] 0.98-5.58) prior to airplane transfer, WFNS grading scale on admission (HR 1.53, 95% CI 1.16-2.02) and age (OR 1.03, 95% 1.00-1.07) were associated with one-year mortality.

conclusionWhen necessary, transatlantic air transfer of patients with suspected aSAH after management according to local guidelines seems feasible and safe.

Indexed as

Subarachnoid HemorrhageAircraftDrainageFemaleFranceHumansMaleMiddle AgedRetrospective StudiesAirplane transferAneurysmal subarachnoid hemorrhageMechanical ventilationOne-year mortalitySafety

Identifiers

PMID38609864
PMCPMC11010355

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Registered trials

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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.