{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:02:00Z","timestamp":1791525720346,"version":"4.3.4"},"reference-count":50,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"17","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,9,3]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Both meteorological factors and morphological factors are important factors to predict intracranial aneurysm rupture. This study investigated the relationship between meteorological factors and aneurysmal subarachnoid hemorrhage (aSAH). Additionally, the morphological differences between ruptured and unruptured aneurysms under these high\u2010risk meteorological conditions were assessed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The records of 1751 patients with aSAH with 2124 intracranial aneurysms were retrospectively analyzed. Spearman rank correlation analysis was used to assess the risks of incident\n              <jats:styled-content style=\"fixed-case\">aSAH<\/jats:styled-content>\n              on the basis of daily meteorological data. Morphological parameters were analyzed using 1\u2010way\n              <jats:styled-content style=\"fixed-case\">ANOVA<\/jats:styled-content>\n              tests, and significant parameters (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.05) were further examined using a multivariable logistic regression analysis. Daily\n              <jats:styled-content style=\"fixed-case\">aSAH<\/jats:styled-content>\n              incidence had significant negative correlations with daily mean, maximum, and minimum temperature (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and a significant positive correlation with daily mean atmospheric pressure (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). Additionally, 58 patients with multiple aneurysms were assessed to determine morphological differences. There were significant differences in the mean values for aneurysm size, neck width, length, height, width, parent artery diameter, shape of the aneurysm, aspect ratio, size ratio, and bottleneck factor (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.05). The multivariable logistic regression analysis showed that aspect ratio (\u03b2=1.277, odds ratio=3.585, 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.588\u20138.090;\n              <jats:italic>P<\/jats:italic>\n              =0.002) was an independent risk factor for aneurysm rupture. Receiver operating characteristic curve analysis indicated that the ruptured aneurysm threshold of size was 3.45\u00a0mm and aspect ratio was 1.05.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Lower daily mean, maximum, and minimum temperatures and a higher daily mean atmospheric pressure were associated with an increased rate of\n              <jats:styled-content style=\"fixed-case\">aSAH<\/jats:styled-content>\n              . Additionally, under these meteorological conditions, the aneurysm size and aspect ratio thresholds for predicting rupture of an aneurysm may be lower.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.119.012205","type":"journal-article","created":{"date-parts":[[2019,8,23]],"date-time":"2019-08-23T09:02:08Z","timestamp":1566550928000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Association Between Meteorological Factors and the Rupture of Intracranial Aneurysms"],"prefix":"10.1161","volume":"8","author":[{"given":"MeiHua","family":"Li","sequence":"first","affiliation":[{"name":"Department of Neurosurgery the First Affiliated Hospital of Nanchang University Nanchang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Si","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery the First Affiliated Hospital of Nanchang University Nanchang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NianZu","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery the First Affiliated Hospital of Nanchang University Nanchang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Jiangxi Meteorological Observatory Nanchang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muyun","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery the First Affiliated Hospital of Gannan Medical University Ganzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000070"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2007.117655"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30668-7"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000074572.91827.F4"},{"key":"e_1_3_1_6_2","first-page":"607","article-title":"Risk factors for subarachnoid hemorrhage","volume":"49","author":"Qureshi AI","year":"2001","unstructured":"Qureshi AI, Suri MF, Yahia AM, Suarez JI, Guterman LR, Hopkins LN, Tamargo RJ. 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