{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:38:37Z","timestamp":1761824317208,"version":"3.40.5"},"reference-count":34,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>To determine the long\u2010term survival outcomes of and prognostic factors for survival in patients with a ruptured intracranial aneurysm (RIA) who underwent endovascular coil embolization or surgical clipping.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We selected patients who had received a diagnosis of RIA between January 1, 2011 and December 31, 2017. Propensity score matching was performed, and Cox proportional hazards model curves were plotted to analyze all\u2010cause mortality in patients undergoing different treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The matching process yielded a final cohort of 8102 patients (4051 and 4051 in endovascular coil embolization and surgical clipping groups, respectively) who were eligible for inclusion. In multivariate Cox regression analyses, the adjusted hazard ratio (aHR) and 95% confidence interval (CI) for endovascular coil embolization compared with surgical clipping were 0.87 (95% CI, 0.79\u20130.97). The aHRs for the ages of 65 to 74, 75 to 84, and \u226585\u00a0years compared with the ages of 20 to 64\u00a0years were 1.82 (95% CI, 1.60\u20132.07), 3.35 (95% CI, 2.93\u20133.84), and 6.99 (95% CI, 5.51\u20138.86), respectively. Surgical clipping; old age; male sex; treatment during 2011 to 2013; presence of diabetes, congestive heart failure, hypertension, chronic kidney disease, or end\u2010stage renal disease; history of stroke or transient ischemic attack; Charlson Comorbidity Index \u22652; attendance of nonacademic hospitals; and low income were significant independent prognostic factors for poor survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared with surgical clipping, endovascular coil embolization led to more favorable survival outcomes in patients with RIAs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.15002","type":"journal-article","created":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T09:10:24Z","timestamp":1625130624000},"page":"3012-3021","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Long\u2010term survival outcomes and prognostic factors related to ruptured intracranial aneurysms: A comparison of surgical and endovascular options in a propensity score\u2013matched, nationwide population\u2010based cohort study"],"prefix":"10.1111","volume":"28","author":[{"given":"Yang\u2010Lan","family":"Lo","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Lo\u2010Hsu Medical Foundation Lotung Poh\u2010Ai Hospital Yilan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Chang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Lo\u2010Hsu Medical Foundation Lotung Poh\u2010Ai Hospital Yilan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying\u2010Hui","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Lo\u2010Hsu Medical Foundation Lotung Poh\u2010Ai Hospital Yilan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho\u2010Min","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Food Nutrition and Health Biotechnology College of Medical and Health Science Asia University Taichung Taiwan"},{"name":"Big Data Center Lo\u2010Hsu Medical Foundation Lotung Poh\u2010Ai Hospital Yilan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5637-558X","authenticated-orcid":false,"given":"Szu\u2010Yuan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Food Nutrition and Health Biotechnology College of Medical and Health Science Asia University Taichung Taiwan"},{"name":"Big Data Center Lo\u2010Hsu Medical Foundation Lotung Poh\u2010Ai Hospital Yilan Taiwan"},{"name":"Division of Radiation Oncology Lo\u2010Hsu Medical Foundation Lotung Poh\u2010Ai Hospital Yilan Taiwan"},{"name":"Department of Healthcare Administration College of Medical and Health Science Asia University Taichung Taiwan"},{"name":"Graduate Institute of Business Administration Fu Jen Catholic University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_11_2_1","DOI":"10.1186\/s13054-015-1036-0"},{"doi-asserted-by":"publisher","key":"e_1_2_11_3_1","DOI":"10.1097\/ANA.0000000000000130"},{"doi-asserted-by":"publisher","key":"e_1_2_11_4_1","DOI":"10.1093\/brain\/124.2.249"},{"doi-asserted-by":"publisher","key":"e_1_2_11_5_1","DOI":"10.1161\/STROKEAHA.108.191395"},{"doi-asserted-by":"publisher","key":"e_1_2_11_6_1","DOI":"10.1161\/STR.0b013e3182587839"},{"doi-asserted-by":"publisher","key":"e_1_2_11_7_1","DOI":"10.1148\/radiol.10092209"},{"doi-asserted-by":"publisher","key":"e_1_2_11_8_1","DOI":"10.3171\/JNS\/2008\/108\/6\/1088"},{"doi-asserted-by":"publisher","key":"e_1_2_11_9_1","DOI":"10.1161\/JAHA.112.002865"},{"doi-asserted-by":"publisher","key":"e_1_2_11_10_1","DOI":"10.3171\/jns.2002.97.5.1036"},{"doi-asserted-by":"publisher","key":"e_1_2_11_11_1","DOI":"10.1001\/archneur.58.4.559"},{"doi-asserted-by":"publisher","key":"e_1_2_11_12_1","DOI":"10.3171\/jns.1991.75.1.0001"},{"doi-asserted-by":"publisher","key":"e_1_2_11_13_1","DOI":"10.1161\/01.STR.0000086528.32334.06"},{"doi-asserted-by":"publisher","key":"e_1_2_11_14_1","DOI":"10.1016\/S0140-6736(02)11314-6"},{"doi-asserted-by":"publisher","key":"e_1_2_11_15_1","DOI":"10.1016\/S0140-6736(05)67214-5"},{"doi-asserted-by":"publisher","key":"e_1_2_11_16_1","DOI":"10.7326\/0003-4819-148-4-200802190-00004"},{"doi-asserted-by":"publisher","key":"e_1_2_11_17_1","DOI":"10.1111\/apt.14835"},{"doi-asserted-by":"publisher","key":"e_1_2_11_18_1","DOI":"10.1002\/cncr.30823"},{"doi-asserted-by":"publisher","key":"e_1_2_11_19_1","DOI":"10.1002\/cncr.30565"},{"doi-asserted-by":"publisher","key":"e_1_2_11_20_1","DOI":"10.3390\/cancers13010106"},{"doi-asserted-by":"publisher","key":"e_1_2_11_21_1","DOI":"10.3390\/cancers13030488"},{"doi-asserted-by":"publisher","key":"e_1_2_11_22_1","DOI":"10.1016\/j.ejca.2018.11.032"},{"doi-asserted-by":"publisher","key":"e_1_2_11_23_1","DOI":"10.1002\/hed.26575"},{"doi-asserted-by":"publisher","key":"e_1_2_11_24_1","DOI":"10.1016\/j.ijcard.2016.12.074"},{"doi-asserted-by":"publisher","key":"e_1_2_11_25_1","DOI":"10.1016\/j.jfma.2018.10.002"},{"doi-asserted-by":"publisher","key":"e_1_2_11_26_1","DOI":"10.1016\/0895-4356(94)90129-5"},{"doi-asserted-by":"publisher","key":"e_1_2_11_27_1","DOI":"10.1097\/MD.0000000000003268"},{"doi-asserted-by":"publisher","key":"e_1_2_11_28_1","DOI":"10.1007\/978-1-4615-2009-2_5"},{"doi-asserted-by":"publisher","key":"e_1_2_11_29_1","DOI":"10.1002\/(SICI)1097-0258(19981015)17:19<2265::AID-SIM918>3.0.CO;2-B"},{"key":"e_1_2_11_30_1","first-page":"815","article-title":"Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results","volume":"15","author":"Fernandez Zubillaga A","year":"1994","journal-title":"AJNR Am J Neuroradiol"},{"doi-asserted-by":"publisher","key":"e_1_2_11_31_1","DOI":"10.3109\/02688698709023775"},{"doi-asserted-by":"publisher","key":"e_1_2_11_32_1","DOI":"10.1097\/00006123-200012000-00012"},{"doi-asserted-by":"publisher","key":"e_1_2_11_33_1","DOI":"10.1161\/STROKEAHA.110.602888"},{"doi-asserted-by":"publisher","key":"e_1_2_11_34_1","DOI":"10.1161\/01.STR.31.10.2369"},{"key":"e_1_2_11_35_1","first-page":"CD003085","article-title":"Endovascular coiling versus neurosurgical clipping for people with aneurysmal subarachnoid haemorrhage","volume":"8","author":"Lindgren A","year":"2018","journal-title":"Cochrane Database Syst Rev"}],"container-title":["European Journal of Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ene.15002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ene.15002","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ene.15002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T21:58:09Z","timestamp":1693000689000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ene.15002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,14]]},"references-count":34,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1111\/ene.15002"],"URL":"https:\/\/doi.org\/10.1111\/ene.15002","archive":["Portico"],"relation":{},"ISSN":["1351-5101","1468-1331"],"issn-type":[{"type":"print","value":"1351-5101"},{"type":"electronic","value":"1468-1331"}],"subject":[],"published":{"date-parts":[[2021,7,14]]},"assertion":[{"value":"2021-06-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}