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ELAPSS score for prediction of risk of growth of unruptured intracranial aneurysms.
Backes, Daan; Rinkel, Gabriel J E; Greving, Jacoba P; Velthuis, Birgitta K; Murayama, Yuichi; Takao, Hiroyuki; Ishibashi, Toshihiro; Igase, Michiya; terBrugge, Karel G; Agid, Ronit; Jääskeläinen, Juha E; Lindgren, Antti E; Koivisto, Timo; von Und Zu Fraunberg, Mikael; Matsubara, Shunji; Moroi, Junta; Wong, George K C; Abrigo, Jill M; Igase, Keiji; Matsumoto, Katsumi; Wermer, Marieke J H; van Walderveen, Marianne A A; Algra, Ale; Vergouwen, Mervyn D I.
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  • Backes D; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Rinkel GJE; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Greving JP; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Velthuis BK; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Murayama Y; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Takao H; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Ishibashi T; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Igase M; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • terBrugge KG; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Agid R; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Jääskeläinen JE; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Lindgren AE; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Koivisto T; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • von Und Zu Fraunberg M; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Matsubara S; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Moroi J; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Wong GKC; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Abrigo JM; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Igase K; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Matsumoto K; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Wermer MJH; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • van Walderveen MAA; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Algra A; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
  • Vergouwen MDI; From the Department of Neurology and Neurosurgery (D.B., G.J.E.R., A.A., M.D.I.V.), Brain Centre Rudolf Magnus, Julius Centre for Health Sciences and Primary Care (J.P.G., A.A.), and Department of Radiology (B.K.V.), University Medical Centre Utrecht, the Netherlands; Division of Endovascular Neuros
Neurology ; 88(17): 1600-1606, 2017 Apr 25.
Article en En | MEDLINE | ID: mdl-28363976
ABSTRACT

OBJECTIVE:

To develop a risk score that estimates 3-year and 5-year absolute risks for aneurysm growth.

METHODS:

From 10 cohorts of patients with unruptured intracranial aneurysms and follow-up imaging, we pooled individual data on sex, population, age, hypertension, history of subarachnoid hemorrhage, and aneurysm location, size, aspect ratio, and shape but not on smoking during follow-up and family history of intracranial aneurysms in 1,507 patients with 1,909 unruptured intracranial aneurysms and used aneurysm growth as outcome. With aneurysm-based multivariable Cox regression analysis, we determined predictors for aneurysm growth, which were presented as a risk score to calculate 3-year and 5-year risks for aneurysm growth by risk factor status.

RESULTS:

Aneurysm growth occurred in 257 patients (17%) and 267 aneurysms (14%) during 5,782 patient-years of follow-up. Predictors for aneurysm growth were earlier subarachnoid hemorrhage, location of the aneurysm, age >60 years, population, size of the aneurysm, and shape of the aneurysm (ELAPSS). The 3-year growth risk ranged from <5% to >42% and the 5-year growth risk from <9% to >60%, depending on the risk factor status.

CONCLUSIONS:

The ELAPSS score consists of 6 easily retrievable predictors and can help physicians in decision making on the need for and timing of follow-up imaging in patients with unruptured intracranial aneurysms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Neurology Año: 2017 Tipo del documento: Article
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Neurology Año: 2017 Tipo del documento: Article