Association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.

<h4>Background</h4>High blood pressure is a major risk factor for the development and rupture of cerebral aneurysm. Endovascular coil embolization and surgical clipping are established procedures to treat cerebral aneurysm. However, longitudinal data of blood pressure after the treatment...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jinkwon Kim, Jang Hoon Kim, Hye Sun Lee, Sang Hyun Suh, Kyung-Yul Lee
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/af6fecda60bb43e6aab382d5dea4f4fd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:af6fecda60bb43e6aab382d5dea4f4fd
record_format	dspace
spelling	oai:doaj.org-article:af6fecda60bb43e6aab382d5dea4f4fd2021-11-25T06:23:41ZAssociation between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.1932-620310.1371/journal.pone.0252042https://doaj.org/article/af6fecda60bb43e6aab382d5dea4f4fd2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252042https://doaj.org/toc/1932-6203<h4>Background</h4>High blood pressure is a major risk factor for the development and rupture of cerebral aneurysm. Endovascular coil embolization and surgical clipping are established procedures to treat cerebral aneurysm. However, longitudinal data of blood pressure after the treatment of cerebral aneurysm and its impact on long-term prognosis are not well known.<h4>Methods</h4>This retrospective cohort study included 1275 patients who underwent endovascular coil embolization (n = 558) or surgical clipping (n = 717) of cerebral aneurysm in 2002-2015 using the nationwide health screening database of Korea. Systolic and diastolic blood pressure of patients were repeatedly obtained from the nationwide health screening program. We performed a multivariate time-dependent Cox regression analysis of the primary composite outcome of stroke, myocardial infarction, and all-cause death.<h4>Results</h4>During the mean follow-up period of 6.13 ± 3.41 years, 89 patients suffered the primary outcome. Among the total 3546 times of blood pressure measurement, uncontrolled high blood pressure (systolic ≥140 mmHg or diastolic ≥90 mmHg) was 22.9%. There was a significantly increased risk of primary outcome with high systolic (adjusted HR [95% CI] per 10 mmHg, 1.16 [1.01-1.35]) and diastolic (adjusted HR [95% CI] per 10 mmHg, 1.32 [1.06-1.64]) blood pressure.<h4>Conclusions</h4>High blood pressure is prevalent even in patients who received treatment for cerebral aneurysm, which is significantly associated with poor outcome. Strict control of high blood pressure may further improve the prognosis of patients with cerebral aneurysm.Jinkwon KimJang Hoon KimHye Sun LeeSang Hyun SuhKyung-Yul LeePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252042 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jinkwon Kim Jang Hoon Kim Hye Sun Lee Sang Hyun Suh Kyung-Yul Lee Association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.
description	<h4>Background</h4>High blood pressure is a major risk factor for the development and rupture of cerebral aneurysm. Endovascular coil embolization and surgical clipping are established procedures to treat cerebral aneurysm. However, longitudinal data of blood pressure after the treatment of cerebral aneurysm and its impact on long-term prognosis are not well known.<h4>Methods</h4>This retrospective cohort study included 1275 patients who underwent endovascular coil embolization (n = 558) or surgical clipping (n = 717) of cerebral aneurysm in 2002-2015 using the nationwide health screening database of Korea. Systolic and diastolic blood pressure of patients were repeatedly obtained from the nationwide health screening program. We performed a multivariate time-dependent Cox regression analysis of the primary composite outcome of stroke, myocardial infarction, and all-cause death.<h4>Results</h4>During the mean follow-up period of 6.13 ± 3.41 years, 89 patients suffered the primary outcome. Among the total 3546 times of blood pressure measurement, uncontrolled high blood pressure (systolic ≥140 mmHg or diastolic ≥90 mmHg) was 22.9%. There was a significantly increased risk of primary outcome with high systolic (adjusted HR [95% CI] per 10 mmHg, 1.16 [1.01-1.35]) and diastolic (adjusted HR [95% CI] per 10 mmHg, 1.32 [1.06-1.64]) blood pressure.<h4>Conclusions</h4>High blood pressure is prevalent even in patients who received treatment for cerebral aneurysm, which is significantly associated with poor outcome. Strict control of high blood pressure may further improve the prognosis of patients with cerebral aneurysm.
format	article
author	Jinkwon Kim Jang Hoon Kim Hye Sun Lee Sang Hyun Suh Kyung-Yul Lee
author_facet	Jinkwon Kim Jang Hoon Kim Hye Sun Lee Sang Hyun Suh Kyung-Yul Lee
author_sort	Jinkwon Kim
title	Association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.
title_short	Association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.
title_full	Association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.
title_fullStr	Association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.
title_full_unstemmed	Association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.
title_sort	association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: a nationwide population-based cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/af6fecda60bb43e6aab382d5dea4f4fd
work_keys_str_mv	AT jinkwonkim associationbetweenlongitudinalbloodpressureandprognosisaftertreatmentofcerebralaneurysmanationwidepopulationbasedcohortstudy AT janghoonkim associationbetweenlongitudinalbloodpressureandprognosisaftertreatmentofcerebralaneurysmanationwidepopulationbasedcohortstudy AT hyesunlee associationbetweenlongitudinalbloodpressureandprognosisaftertreatmentofcerebralaneurysmanationwidepopulationbasedcohortstudy AT sanghyunsuh associationbetweenlongitudinalbloodpressureandprognosisaftertreatmentofcerebralaneurysmanationwidepopulationbasedcohortstudy AT kyungyullee associationbetweenlongitudinalbloodpressureandprognosisaftertreatmentofcerebralaneurysmanationwidepopulationbasedcohortstudy
_version_	1718413764180574208

Association between longitudinal blood pressure and prognosis after treatment of cerebral aneurysm: A nationwide population-based cohort study.

Ejemplares similares