Evidence map›Paper›PMID 38649538›Full record

ArticleActa neurochirurgica2024

Trends in incidence and treatments of spontaneous subarachnoid hemorrhage- a 10 year hospital based study.

Elisabeth Ronne-Engström, Ljubisa Borota, Samuel Lenell, Anders Lewén, Ehab Mahmoud, Christoffer Nyberg, Fartein Velle, Per Enblad

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

Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. Article
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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

8 authors at 1 institution in 1 country.

Elisabeth Ronne-EngströmDepartment of Medical Sciences, Section of Neurosurgery, Uppsala University, Uppsala, Sweden. elisabeth.ronne-engstrom@neuro.uu.se.ORCID 0000-0001-6345-9415
Ljubisa BorotaDepartment of Surgical Sciences, Section of Radiology, Uppsala University, Uppsala, Sweden.
Samuel LenellDepartment of Medical Sciences, Section of Neurosurgery, Uppsala University, Uppsala, Sweden.
Anders LewénDepartment of Medical Sciences, Section of Neurosurgery, Uppsala University, Uppsala, Sweden.
Ehab MahmoudDepartment of Surgical Sciences, Section of Radiology, Uppsala University, Uppsala, Sweden.
Christoffer NybergDepartment of Medical Sciences, Section of Neurosurgery, Uppsala University, Uppsala, Sweden.
Fartein VelleDepartment of Medical Sciences, Section of Neurosurgery, Uppsala University, Uppsala, Sweden.
Per EnbladDepartment of Medical Sciences, Section of Neurosurgery, Uppsala University, Uppsala, Sweden.
Uppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproved endovascular methods make it possible to treat complex ruptured aneurysms, but surgery is still needed in certain cases. We evaluated the effects on the clinical results of the changes in aneurysm treatment.

methodsThe study cohort was 837 patients with spontaneous subarachnoid hemorrhage (SAH) and one or multiple aneurysms, admitted to Dept of Neurosurgery, Uppsala University Hospital from 2012 to 2021. Demography, location and treatment of aneurysms, neurologic condition at admission and discharge, mortality and last tier treatment of high intracranial pressure (ICP) was evaluated. Functional outcome was measured using the Extended Glasgow Outcome Scale (GOSE) Data concerning national incidences of stroke diseases was collected from open Swedish databases.

resultsEndovascular methods were used in 666 cases (79.6%). In 111 (13.3%) with stents. Surgery was performed in 115 cases (13.7%) and 56 patients (6.7%) had no aneurysm treatment. The indications for surgery were a hematoma (51 cases, 44.3%), endovascular treatment not considered safe (47 cases, 40.9%), or had been attempted without success (13 cases, 11.3%). Treatment with stent devices increased, and with surgery decreased over time. There was a trend in decrease in hemicraniectomias over time. Both the patient group admitted awake (n = 681) and unconscious (n = 156) improved significantly in consciousness between admission and discharge. Favorable outcome (GOSE 5-8) was seen in 69% for patients admitted in Hunt & Hess I-II and 25% for Hunt & Hess III-V. Mortality at one year was 10.9% and 42.7% for those admitted awake and unconscious, respectively.The number of cases decreased during the study period, which was in line with Swedish national data.

conclusionsThe incidence of patients with SAH gradually decreased in our material, in line with national data. The treatment policy in our unit has been shifting to more use of endovascular methods. During the study period the use of hemicraniectomies decreased.

Indexed as

Endovascular ProceduresSubarachnoid HemorrhageAdultAgedAneurysm, RupturedFemaleHumansIncidenceIntracranial AneurysmMaleMiddle AgedNeurosurgical ProceduresStentsSwedenTreatment OutcomeAneurysmICP-treatmentMicrosurgeryNeurointerventionSpontaneous SAHStent devicesStroke incidence

Identifiers

PMID38649538
PMCPMC11035434
OpenAlexW4394993175

What OpenQuestion holds

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LicenceCC BY
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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.