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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Autores principales: Jia-He Yin, Shi-Xing Su, Xin Zhang, Yi-Ming Bi, Chuan-Zhi Duan, Wei-mei Huang, Xi-Long Wang
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Publicado: Frontiers Media S.A. 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic aspect ratio (AR)
rupture of intracranial aneurysm
association
generalized additive model
subgroup analysis
Neurology. Diseases of the nervous system
RC346-429
spellingShingle 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
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