Patient Outcomes Are Better for Unruptured Cerebral Aneurysms Treated at Centers That Preferentially Treat with Endovascular Coiling: A Study of the National Inpatient Sample 2001–2007 W. Brinjikji
نویسندگان
چکیده
MATERIALS AND METHODS: Using the NIS, we evaluated outcomes of patients treated for unruptured aneurysms in the United States from 2001 to 2007. Hospitalizations for clipping or coiling of unruptured cerebral aneurysms were identified by cross-matching ICD codes for diagnosis of unruptured aneurysm with procedure codes for clipping or coiling of cerebral aneurysms. Mortality and morbidity, measured as “discharge to long-term facility,” were evaluated in relation to the fraction of cases treated with coils versus clipping as well as the annual number of unruptured aneurysms treated by individual hospitals and individual physicians.
منابع مشابه
Patient outcomes are better for unruptured cerebral aneurysms treated at centers that preferentially treat with endovascular coiling: a study of the national inpatient sample 2001-2007.
BACKGROUND AND PURPOSE Practice patterns vary widely among centers with regard to the treatment of unruptured aneurysms. The purpose of the current study was to correlate outcome data with practice patterns, specifically the proportion of unruptured aneurysms treated with neurosurgical clipping versus endovascular coiling. MATERIALS AND METHODS Using the NIS, we evaluated outcomes of patients...
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BACKGROUND AND PURPOSE Age might differentially affect outcomes in patients treated for unruptured cerebral aneurysms with surgical clipping versus endovascular coil therapy. We evaluated a large administrative database to determine the effect of age on outcomes in patients treated for unruptured cerebral aneurysm. METHODS Using the National Inpatient Sample, we evaluated morbidity (discharge...
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BACKGROUND AND PURPOSE Endovascular therapy has increasingly become an acceptable option for treatment of unruptured aneurysms. To better understand the recent trends in the use of and outcomes related to coiling compared with clipping for unruptured aneurysms in the United States, we evaluated the NIS. MATERIALS AND METHODS Hospitalizations for clipping or coiling of unruptured cerebral aneu...
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BACKGROUND AND PURPOSE Patient age substantially influences treatment decisions for ruptured cerebral aneurysms. It would be useful to understand national age-related trends of treatment techniques and outcomes in patients treated for ruptured cerebral aneurysm in the United States. MATERIALS AND METHODS Using the US Nationwide Inpatient Sample, we evaluated trends in treatment technique (cli...
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Cost-benefit analysis of endovascular treatment compared to open-surgical treatment of cerebral aneurysms in the setting of global economic restrictions is of growing importance. We present our experience with coil embolization and a modified thumb-sized pterional craniotomy for clip ligation of unruptured anterior circulation cerebral aneurysms performed in a major tertiary cerebrovascular cen...
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