Paradoxical trends in the management of unruptured cerebral aneurysms in the united states: Analysis of nationwide database over a 10-year period

Stroke

Volumn 42, Issue 6, 2011, Pages 1730-1735

  Huang, Michael C ^a   Baaj, Ali A ^a   Downes, Katheryne ^a   Youssef, A Samy ^a   Sauvageau, Eric ^a   Van Loveren, Harry R ^a   Agazzi, Siviero ^a  

^a UNIVERSITY OF SOUTH FLORIDA   (United States)

Author keywords

aneurysms; endovascular; healthcare; Nationwide Inpatient Sample

Indexed keywords

ADULT; AGE DISTRIBUTION; ARTERY CLAMP; ARTICLE; BRAIN ARTERY ANEURYSM; CALCULATION; CONTROLLED STUDY; ECONOMIC EVALUATION; ENDOVASCULAR SURGERY; FACTUAL DATABASE; FEMALE; HEALTH CARE COST; HOSPITAL DISCHARGE; HOSPITALIZATION; HOSPITALIZATION COST; HUMAN; INTERNATIONAL CLASSIFICATION OF DISEASES; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; POPULATION RESEARCH; PRIORITY JOURNAL; PUBLIC HEALTH SERVICE; SEX RATIO; UNITED STATES;

ANEURYSM, RUPTURED; COST OF ILLNESS; DATABASES, FACTUAL; ENDOVASCULAR PROCEDURES; FEMALE; HOSPITAL CHARGES; HOSPITAL MORTALITY; HOSPITALIZATION; HUMANS; INTRACRANIAL ANEURYSM; MALE; MIDDLE AGED; SURGICAL INSTRUMENTS; TREATMENT OUTCOME; UNITED STATES;

EID: 79958288598     PISSN: 00392499     EISSN: 15244628     Source Type: Journal    
DOI: 10.1161/STROKEAHA.110.603803     Document Type: Article

References (30)

1. Bederson J, Connolly E, Batjer H, Dacey R, Dion J, Diringer M, Duldner J, Harbaugh R, Patel A, Rosenwasser R. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke. 2009;40:994-1025.
2. Suarez JI, Tarr RW, Selman WR. Aneurysmal subarachnoid hemorrhage. N Engl J Med. 2006;354:387-396. (Pubitemid 43145063)
3. Writing Group Members. Executive summary: heart disease and stroke statistics-2010 update: a report from the American Heart Association. Circulation. 2010;121:948-954.
4. Cross D, Tirschwell D, Clark M, Tuden D, Derdeyn C, Moran C, Dacey R. Mortality rates after subarachnoid hemorrhage: variations according to hospital case volume in 18 states. J Neurosurg. 2003;99:810-817. (Pubitemid 37314914)
5. Hackett M, Anderson C. Health outcomes 1 year after subarachnoid hemorrhage: an international population-based study. Neurology. 2000; 55:658-662.
6. Hop J, Rinkel G, Algra A, van Gijn J. Case-fatality rates and functional outcome after subarachnoid hemorrhage: a systematic review. Stroke. 1997;28:660-664. (Pubitemid 27118394)
7. The International Study of Unruptured Intracranial Aneurysm Investigators. Unruptured intracranial aneurysms-risk of rupture and risks of surgical intervention. N Engl J Med. 1998;339:1725-1733.
8. Wiebers DO, Whisnant JP, Huston Jr, Meissner I, Brown RJ, Piepgras D, Forbes G, Thielen K, Nichols D, O'Fallon W, Peacock J, Jaeger L, Kassell N, Kongable-Beckman G, Torner J. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet. 2003;362:103-110. (Pubitemid 36831019)
9. Johnston S, Zhao S, Dudley R, Berman M, Gress D. Treatment of unruptured cerebral aneurysms in California. Stroke. 2001;32:597-605.
10. Andaluz N, Zuccarello M. Recent trends in the treatment of cerebral aneurysms: analysis of a nationwide inpatient database. J Neurosurg. 2008;108:1163-1169. (Pubitemid 351798491)
11. Hoh B, Chi Y, Lawson M, Mocco J, Barker F. Length of stay and total hospital charges of clipping versus coiling for ruptured and unruptured adult cerebral aneurysms in the Nationwide Inpatient Sample database 2002 to 2006. Stroke. 2010;41:337-342.
12. Rinkel GJ, Djibuti M, Algra A, van Gijn J. Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke. 1998;29:251-256. (Pubitemid 28046972)
13. Vernooij M, Ikram A, Tanghe H, Vincent A, Hofman A, Krestin G, Niessen W, Breteler M, van der Lugt A. Incidental findings on brain MRI in the general population. N Engl J Med. 2007;357:1821-1828. (Pubitemid 350044802)
14. Heiskanen O, Marttila I. Risk of rupture of a second aneurysm in patients with multiple aneurysms. J Neurosurg. 1970;32:295-299.
15. Locksley H. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. J Neurosurg. 1966;25: 321-368.
16. Moyes P. Surgical treatment of multiple aneurysms and of incidentally discovered unruptured aneurysms. J Neurosurg. 1971;35:291-295.
17. Samson D, Hodosh R, Clark W. Surgical management of unruptured asymptomatic aneurysms. J Neurosurg. 1977;46:731-734. (Pubitemid 8111494)
18. Solomon R, Fink M, Pile-Spellman J. Surgical management of unruptured intracranial aneurysms. J Neurosurg. 1994;80:440-446. (Pubitemid 24073004)
19. Juvela S, Porras M, Heiskanen O. Natural history of unruptured intracranial aneurysms: a long-term follow-up study. J Neurosurg. 1993;79: 174-182. (Pubitemid 23215832)
20. Juvela S, Porras M, Poussa K. Natural history of unruptured intracranial aneurysms: probability of and risk factors for aneurysm rupture. J Neurosurg. 2000;93:379-387.
21. Raymond J. Incidental intracranial aneurysms: rationale for treatment. Curr Opin Neurol. 2009;22:96-102.
22. Wermer MJ, van der Schaaf IC, Algra A, Rinkel GJ. Risk of rupture of unruptured intracranial aneurysms in relation to patient and aneurysm characteristics: an updated meta-analysis. Stroke. 2007;38:1404-1410. (Pubitemid 351664233)
23. Bederson JB, Awad IA, Wiebers DO, Piepgras D, Haley EC, Brott T, Hademenos G, Chyatte D, Rosenwasser R, Caroselli C. Recommendations for the management of patients with unruptured intracranial aneurysms: a statement for healthcare professionals from the Stroke Council of the American Heart Association. Stroke. 2000;31:2742-2750.
24. Hoh B, Chi Y, Dermott M, Lipori P, Lewis S. The effect of coiling versus clipping of ruptured and unruptured cerebral aneurysms on length of stay, hospital cost, hospital reimbursement, and surgeon reimbursement at the university of Florida. Neurosurgery. 2009;64:614-619.
25. Halkes PH, Wermer MJ, Rinkel GJ, Buskens E. Direct costs of surgical clipping and endovascular coiling of unruptured intracranial aneurysms. Cerebrovasc Dis. 2006;22:40-45. (Pubitemid 43875159)
26. Javadpour M, Jain H, Wallace MC, Willinsky RA, ter Brugge KG, Tymianski M. Analysis of cost related to clinical and angiographic outcomes of aneurysm patients enrolled in the international subarachnoid aneurysm trial in a North American setting. Neurosurgery. 2005;56: 886-894.
27. Wolstenholme J, Rivero-Aris O, Gray A, Molyneux AJ, Kerr RS, Yarnold JA, Sneade M. Treatment pathways, resource use, and costs of endovascular coiling versus surgical clipping after a SAH. Stroke. 2008;39: 111-119.
28. Andaluz N, Zuccarello M. Recent trends in the treatment of spontaneous intracerebral hemorrhage: analysis of a nationwide inpatient database. J Neurosurg. 2009;110:403-410.
29. Baaj AA, Benbadis SR, Tatum WO, Vale FL. Trends in the use of vagus nerve stimulation for epilepsy: analysis of a nationwide database. Neurosurg Focus. 2008;25:E10.
30. Lad SP, Patil CG, Berta S, Santarelli JG, Ho C, Boakye M. National trends in spinal fusion for cervical spondylotic myelopathy. Surg Neurol. 2009;71:66-69.