Abstract:
INTRODUCTION:Prior studies of aneurysmal subarachnoid hemorrhage (SAH) have shown that treatment at teaching institutions and decreased time to surgery are factors that correlate with improved patient outcome. We aimed to individually evaluate the effect of teaching institution treatment on rates of surgical clipping or endovascular coiling. METHODS:Patients with SAH treated by either aneurysm clipping or coiling between 2002 and 2010 in the Nationwide Inpatient Sample were analyzed. Time to aneurysm treatment was dichotomized to >3 days or ≤3 days and evaluated by multivariable logistic regression modeling, controlling for patient and hospital covariates. Identified predictors for prolonged time to procedure were compared between the clipping and coiling populations. RESULTS:Between 2002 and 2010 there were 90 684 SAH admissions with subsequent clipping and coiling procedures. Treatment at teaching hospitals was associated with faster time to clipping (OR 0.60, 95% CI 0.44 to 0.80, p=0.001) but not coiling procedures (p=0.66). Likewise, older age (≥80 years) was associated with delays to clipping (p<0.05) but not coiling procedures (p>0.05). Patients with delayed time to treatment were associated with increased rates of moderate to severe neurological disability. CONCLUSIONS:Older patients with SAH and those treated at non-teaching hospitals were more likely to have delays to aneurysm clipping procedures. These associations were unique to open surgery as age and hospital teaching status did not affect time to coiling procedures.
journal_name
J Neurointerv Surgjournal_title
Journal of neurointerventional surgeryauthors
Attenello FJ,Reid P,Wen T,Cen S,Kim-Tenser M,Sanossian N,Russin J,Amar A,Giannotta S,Mack WJ,Tenser Mdoi
10.1136/neurintsurg-2014-011642subject
Has Abstractpub_date
2016-04-01 00:00:00pages
373-7issue
4eissn
1759-8478issn
1759-8486pii
neurintsurg-2014-011642journal_volume
8pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Microcatheterization is an important, but also difficult, technique used for the embolization of intracranial aneurysms. The purpose of this study was to investigate the application of three-dimensional (3D) printing technology in microcatheter shaping. METHODS:Nine cases of internal carotid art...
journal_title:Journal of neurointerventional surgery
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journal_title:Journal of neurointerventional surgery
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journal_title:Journal of neurointerventional surgery
pub_type: 临床试验,杂志文章
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journal_title:Journal of neurointerventional surgery
pub_type: 临床试验,杂志文章
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journal_title:Journal of neurointerventional surgery
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journal_title:Journal of neurointerventional surgery
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
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journal_title:Journal of neurointerventional surgery
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journal_title:Journal of neurointerventional surgery
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
doi:10.1136/neurintsurg-2018-014272
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journal_title:Journal of neurointerventional surgery
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
doi:10.1136/neurintsurg-2014-011518
更新日期:2016-02-01 00:00:00
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
doi:10.1136/neurintsurg-2016-012544
更新日期:2017-02-01 00:00:00
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
doi:10.1136/neurintsurg-2016-012771.rep
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
doi:10.1136/neurintsurg-2014-011180
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2020-12-09 00:00:00
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
doi:10.1136/neurintsurg-2014-011500
更新日期:2016-01-01 00:00:00
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
doi:10.1136/neurintsurg-2018-014112
更新日期:2019-04-01 00:00:00
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章,meta分析
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更新日期:2019-07-01 00:00:00
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
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journal_title:Journal of neurointerventional surgery
pub_type: 杂志文章
doi:10.1136/neurintsurg-2013-010981
更新日期:2015-02-01 00:00:00
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journal_title:Journal of neurointerventional surgery
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