Evidence map›Paper›PMID 33600491›Full record

ArticlePloS one2021

Effect of combined acetylsalicylic acid and statins treatment on intracranial aneurysm rupture.

Mikel Terceño, Sebastian Remollo, Yolanda Silva, Saima Bashir, Mariano Werner, Víctor A Vera-Monge, Joaquín Serena, Carlos Castaño

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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  11. A Future Blood Test to Detect Cerebral Aneurysms.Cellular and molecular neurobiology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mikel TerceñoStroke Unit, Department of Neurology Girona Biomedical Research Institute(IDIBGI), Dr Josep Trueta University Hospital, Girona, Spain.
Sebastian RemolloInterventional Neuroradiology Unit, Department of Neurosciences, Germans Trias i Pujol University Hospital, Badalona, Spain.ORCID 0000-0002-8514-5529
Yolanda SilvaStroke Unit, Department of Neurology Girona Biomedical Research Institute(IDIBGI), Dr Josep Trueta University Hospital, Girona, Spain.
Saima BashirStroke Unit, Department of Neurology Girona Biomedical Research Institute(IDIBGI), Dr Josep Trueta University Hospital, Girona, Spain.
Mariano WernerInterventional Neuroradiology Unit, Department of Neurosciences, Germans Trias i Pujol University Hospital, Badalona, Spain.
Víctor A Vera-MongeStroke Unit, Department of Neurology Girona Biomedical Research Institute(IDIBGI), Dr Josep Trueta University Hospital, Girona, Spain.
Joaquín SerenaStroke Unit, Department of Neurology Girona Biomedical Research Institute(IDIBGI), Dr Josep Trueta University Hospital, Girona, Spain.
Carlos CastañoStroke Unit, Department of Neurology Girona Biomedical Research Institute(IDIBGI), Dr Josep Trueta University Hospital, Girona, Spain.
Institut d'Investigació Biomèdica de Girona · ESHospital Universitari Germans Trias i Pujol · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcetylsalicylic acid (ASA) and statins have been identified as potentially reducing the risk of intracranial aneurysms (IA) rupture. We aim to determine the effect of this drugs on the risk of rupture of IA. PATIENTS AND

methodsWe performed a retrospective cohort study from a prospective database of patients with IA treated in our institution between January 2013 and December 2018. Demographics, previous oral treatments, presence of multiple aneurysms, size of aneurysm, lobulation, location and morphology of the aneurysms were recorded. Patients were dichotomized as ruptured and unruptured IA.

resultsA total of 408 IA were treated, of which 283 (68.6%) were in women. The median age was 53, 194 (47.5%) were ruptured IA. 38 patients (9.3%) were receiving ASA and 84 (20.6%) were receiving statins at the moment of the IA diagnosis. In the multivariable regression analysis, ASA plus statin use and multiple aneurysms were independently associated with unruptured IA (OR 5.01, 95% CI, 1.37-18.33, P = 0.015 and OR 2.72, 95% CI 1.68-4.27, P<0.001, respectively). Whereas, lobulated wall aneurysm and PComA/AComA location were inversely and independently associated with unruptured IA condition (OR 0.34, 95% CI 0.21-0.55, P<0.001 and OR 0.37, 95% CI 0.23-0.60, P<0.001, respectively). However, ASA and statins in monotherapy were not independently associated with unruptured IA condition.

conclusionsIn our study population ASA plus statins treatment is independently associated with unruptured IA. Larger and prospective studies are required to explore this potential protective effect against IA rupture.

Indexed as

AgedAneurysm, RupturedAnti-Inflammatory Agents, Non-SteroidalAspirinDrug Therapy, CombinationFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIntracranial AneurysmMaleMiddle AgedRegression AnalysisRetrospective StudiesAnti-Inflammatory Agents, Non-SteroidalAspirinHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID33600491
PMCPMC7891751
OpenAlexW3131901294

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.