U-Shaped Association of Aspect Ratio and Single Intracranial Aneurysm Rupture in Chinese Patients: A Cross-Sectional Study
Background: Previous studies have analyzed the association of aspect ratio (AR) on the ruptured intracranial aneurysm (IA), but the findings are inconclusive and controversial. Therefore, the study aimed to derive a more detailed estimation of this association between AR and ruptured IA in Chinese I...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:715021a111c24787b9345ec9a076e5cf2021-11-05T23:36:31ZU-Shaped Association of Aspect Ratio and Single Intracranial Aneurysm Rupture in Chinese Patients: A Cross-Sectional Study1664-229510.3389/fneur.2021.731129https://doaj.org/article/715021a111c24787b9345ec9a076e5cf2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.731129/fullhttps://doaj.org/toc/1664-2295Background: Previous studies have analyzed the association of aspect ratio (AR) on the ruptured intracranial aneurysm (IA), but the findings are inconclusive and controversial. Therefore, the study aimed to derive a more detailed estimation of this association between AR and ruptured IA in Chinese IA patients.Methods: The present work was a cross-sectional study. We retrospectively collected 1,588 Chinese patients with a single IA from January 2010 to November 2017. The relationship was examined between AR at diagnosis and ruptured IA. Covariates included data of demographics, morphological parameters, lifestyle habits, clinical features, and comorbidities. Binary logistic regression and two-piecewise linear models were used to analyze independent associations of AR with ruptured IA.Results: The results suggest that the association between AR and IA rupture was U-shaped. In the AR range of 1.08–1.99, the prevalence of IA rupture was 13% lower for each 0.1-unit increment in AR [odds ratio 0.87, 95% confidence interval (CI) 0.80–0.98]. Conversely, for every 0.1-unit increase in AR, the prevalence of IA rupture increased by ~3% (odds ratio 1.03, 95% CI 1.01–1.06) in the AR range of 3.42–4.08.Conclusion: The relationship between AR and ruptured IA was U-shaped, with the negative association at AR of 1.08–1.99 and positive association at AR of 3.42–4.08.Jia-He YinShi-Xing SuXin ZhangYi-Ming BiYi-Ming BiChuan-Zhi DuanWei-mei HuangXi-Long WangFrontiers Media S.A.articleaspect ratio (AR)rupture of intracranial aneurysmassociationgeneralized additive modelsubgroup analysisNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021) |
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aspect ratio (AR) rupture of intracranial aneurysm association generalized additive model subgroup analysis Neurology. Diseases of the nervous system RC346-429 |
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aspect ratio (AR) rupture of intracranial aneurysm association generalized additive model subgroup analysis Neurology. Diseases of the nervous system RC346-429 Jia-He Yin Shi-Xing Su Xin Zhang Yi-Ming Bi Yi-Ming Bi Chuan-Zhi Duan Wei-mei Huang Xi-Long Wang U-Shaped Association of Aspect Ratio and Single Intracranial Aneurysm Rupture in Chinese Patients: A Cross-Sectional Study |
description |
Background: Previous studies have analyzed the association of aspect ratio (AR) on the ruptured intracranial aneurysm (IA), but the findings are inconclusive and controversial. Therefore, the study aimed to derive a more detailed estimation of this association between AR and ruptured IA in Chinese IA patients.Methods: The present work was a cross-sectional study. We retrospectively collected 1,588 Chinese patients with a single IA from January 2010 to November 2017. The relationship was examined between AR at diagnosis and ruptured IA. Covariates included data of demographics, morphological parameters, lifestyle habits, clinical features, and comorbidities. Binary logistic regression and two-piecewise linear models were used to analyze independent associations of AR with ruptured IA.Results: The results suggest that the association between AR and IA rupture was U-shaped. In the AR range of 1.08–1.99, the prevalence of IA rupture was 13% lower for each 0.1-unit increment in AR [odds ratio 0.87, 95% confidence interval (CI) 0.80–0.98]. Conversely, for every 0.1-unit increase in AR, the prevalence of IA rupture increased by ~3% (odds ratio 1.03, 95% CI 1.01–1.06) in the AR range of 3.42–4.08.Conclusion: The relationship between AR and ruptured IA was U-shaped, with the negative association at AR of 1.08–1.99 and positive association at AR of 3.42–4.08. |
format |
article |
author |
Jia-He Yin Shi-Xing Su Xin Zhang Yi-Ming Bi Yi-Ming Bi Chuan-Zhi Duan Wei-mei Huang Xi-Long Wang |
author_facet |
Jia-He Yin Shi-Xing Su Xin Zhang Yi-Ming Bi Yi-Ming Bi Chuan-Zhi Duan Wei-mei Huang Xi-Long Wang |
author_sort |
Jia-He Yin |
title |
U-Shaped Association of Aspect Ratio and Single Intracranial Aneurysm Rupture in Chinese Patients: A Cross-Sectional Study |
title_short |
U-Shaped Association of Aspect Ratio and Single Intracranial Aneurysm Rupture in Chinese Patients: A Cross-Sectional Study |
title_full |
U-Shaped Association of Aspect Ratio and Single Intracranial Aneurysm Rupture in Chinese Patients: A Cross-Sectional Study |
title_fullStr |
U-Shaped Association of Aspect Ratio and Single Intracranial Aneurysm Rupture in Chinese Patients: A Cross-Sectional Study |
title_full_unstemmed |
U-Shaped Association of Aspect Ratio and Single Intracranial Aneurysm Rupture in Chinese Patients: A Cross-Sectional Study |
title_sort |
u-shaped association of aspect ratio and single intracranial aneurysm rupture in chinese patients: a cross-sectional study |
publisher |
Frontiers Media S.A. |
publishDate |
2021 |
url |
https://doaj.org/article/715021a111c24787b9345ec9a076e5cf |
work_keys_str_mv |
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