Cigarette smoking and outcomes after aneurysmal subarachnoid hemorrhage: a nationwide analysis

Journal of Neurosurgery
Hormuzdiyar H DasenbrockRose Du

Abstract

OBJECTIVE Although cigarette smoking is one of the strongest risk factors for cerebral aneurysm development and rupture, there are limited data evaluating the impact of smoking on outcomes after aneurysmal subarachnoid hemorrhage (SAH). Additionally, two recent studies suggested that nicotine replacement therapy was associated with improved neurological outcomes among smokers who had sustained an SAH compared with smokers who did not receive nicotine. METHODS Patients who underwent endovascular or microsurgical repair of a ruptured cerebral aneurysm were extracted from the Nationwide Inpatient Sample (NIS, 2009-2011) and stratified by cigarette smoking. Multivariable logistic regression analyzed in-hospital mortality, complications, tracheostomy or gastrostomy placement, and discharge to institutional care (a nursing or an extended care facility). Additionally, the composite NIS-SAH outcome measure (based on mortality, tracheostomy or gastrostomy, and discharge disposition) was evaluated, which has been shown to have excellent agreement with a modified Rankin Scale score greater than 3. Covariates included in regression constructs were patient age, sex, race/ethnicity, insurance status, socioeconomic status, comorbidities (incl...Continue Reading

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Citations

Dec 17, 2018·Journal of Neurosurgery·R Loch Macdonald
May 3, 2018·Bulletin of Emergency & Trauma·Abdolkarim RahmanianSoheil Motamed
Aug 19, 2018·Scientific Reports·Alexander HammerHendrik Janssen
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Feb 18, 2021·Reviews in the Neurosciences·Alcivan Batista de Morais FilhoFausto Pierdoná Guzen
Sep 21, 2021·Frontiers in Neurology·Cheng-Loong LiangChung Y Hsu

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