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dc.contributor.author
Burch, Jane
dc.contributor.author
Ciapponi, Agustín
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dc.date.available
2023-01-24T13:27:24Z
dc.date.issued
2018-11
dc.identifier.citation
Burch, Jane; Ciapponi, Agustín; How does endovascular coiling compare with neurosurgical clipping for people with aneurysmal subarachnoid hemorrhage (SAH)?; Wiley; Cochrane Clinical Answers; 11-2018; 1-19
dc.identifier.issn
2050-4217
dc.identifier.uri
http://hdl.handle.net/11336/185402
dc.description.abstract
Among adolescents and adults with aneurysmal subarachnoid hemorrhage (SAH) within the prior 28 days and mostly World Federation of Neurological Surgeons (WFNS) grade I or II severity, fewer people died or became dependent when treated with endovascular coiling than with neurosurgical clipping at two to three months (264 vs 369 per 1000 people; all values on average) through to 10 years (347 vs 431 per 1000 people); certainty of the evidence decreased over time from moderate to low. Moderate‐certainty evidence shows that fewer people developed delayed cerebral ischemia at two to three months (223 vs 265 per 1000 people) and mortality was lower at one year (79 vs 100 per 1000 people) with endovascular coiling. In contrast, more people had non‐complete obliteration after one year (336 vs 167 per 1000 people), and more people experienced post‐procedure rebleeding at one year (19 vs 10 per 1000 people; high‐certainty evidence) through to 10 years (61 vs 23 per 1000 people; low‐certainty evidence) with endovascular coiling than with neurosurgical clipping, although rebleeding rates were low in both groups. Complication rates were similar for the two surgical techniques. No trial reported on quality of life.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Wiley
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
SALUD
dc.subject.classification
Otras Ciencias de la Salud
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
How does endovascular coiling compare with neurosurgical clipping for people with aneurysmal subarachnoid hemorrhage (SAH)?
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-01-24T10:27:08Z
dc.journal.pagination
1-19
dc.journal.pais
Argentina
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dc.description.fil
Fil: Burch, Jane. No especifíca;
dc.description.fil
Fil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.journal.title
Cochrane Clinical Answers
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/http://doi.wiley.com/10.1002/cca.2303
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1002/cca.2303
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