دورية أكاديمية
Prevalence and risk factors of unruptured intracranial aneurysms in ischemic stroke patients - A global meta-analysis.
| العنوان: | Prevalence and risk factors of unruptured intracranial aneurysms in ischemic stroke patients - A global meta-analysis. |
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| المؤلفون: | Ortiz AFH; Department of Radiology, Fundación Santa Fe de Bogotá, Bogota, Colombia., Suriano ES; Department of Medicine, Santa Casa de São Paulo Medical School, São Paulo, Brazil., Eltawil Y; Department of Medicine, San Francisco School of Medicine, San Francisco, California, United States., Sekhon M; Department of Medicine, University of California, Riverside School of Medicine, Riverside, California, United States., Gebran A; Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, United States., Garland M; Department of Internal Medicine, Rutgers New Jersey Medical School, Newark, United States., Cuenca NTR; Department of Medicine, Fundacion Universitaria de Ciencias de la Salud, Bogotá, Colombia., Cadavid T; Department of Nuclear Medicine, Fundación Universitaria Sanitas, Bogotá, Colombia., Almarie B; Department of Surgery, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland. |
| المصدر: | Surgical neurology international [Surg Neurol Int] 2023 Jun 30; Vol. 14, pp. 222. Date of Electronic Publication: 2023 Jun 30 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Scientific Scholar LLC Country of Publication: United States NLM ID: 101535836 Publication Model: eCollection Cited Medium: Print ISSN: 2229-5097 (Print) Linking ISSN: 21527806 NLM ISO Abbreviation: Surg Neurol Int Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Pittsford, NY, USA : Scientific Scholar LLC Original Publication: Mumbai : Medknow |
| مستخلص: | Background: Unruptured intracranial aneurysms (UIAs) have an estimated global prevalence of 2.8% in the adult population; however, UIA was identified among more than 10% of ischemic stroke patients. Many epidemiological studies and reviews have pointed to the presence of UIA among patients with ischemic stroke; yet, the extent of this association is not fully known. We performed a systematic review and meta-analysis to determine the prevalence of UIA in patients admitted to hospitals with ischemic stroke and transient ischemic attack (TIA) at both global and continental levels and evaluate factors associated with UIA in this population. Methods: We identified, in five databases, all studies describing UIA in ischemic stroke and TIA patients between January 1, 2000, and December 20, 2021. Included studies were of observational and experimental design. Results: Our search yielded 3581 articles of which 23 were included, with a total of 25,420 patients. The pooled prevalence of UIA was 5% (95% confidence interval [CI] = 4-6%) with stratified results showing 6% (95% CI = 4-9%), 6% (95% CI = 5-7%), and 4% (95% CI = 2-5%) in North America, Asia, and Europe, respectively. Significant risk factors were large vessel occlusion (odds ratios [OR] = 1.22, 95% CI = 1.01-1.47) and hypertension (OR = 1.45, 95% CI = 1.24-1.69), while protective factors were male sex (OR = 0.60, 95% CI = 0.53-0.68) and diabetes (OR = 0.82, 95% CI = 0.72-0.95). Conclusion: The prevalence of UIA is notably higher in ischemic stroke patients than the general population. Physicians should be aware of common risk factors in stroke and aneurysm formation for appropriate prevention. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Surgical Neurology International.) |
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| فهرسة مساهمة: | Keywords: Adults; Computed tomography angiography; Ischemic stroke; Magnetic resonance angiography; Prevalence; Unruptured intracranial aneurysm |
| تواريخ الأحداث: | Date Created: 20230705 Latest Revision: 20230718 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10316137 |
| DOI: | 10.25259/SNI_190_2023 |
| PMID: | 37404522 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2229-5097 |
|---|---|
| DOI: | 10.25259/SNI_190_2023 |