Abstract
P-043 Multi-center study of association between socioeconomic status and treatment of ruptured cerebral aneurysms compared to unruptured cerebral aneurysms: insights from 4,580 patients using the area deprivation index
Journal of neurointerventional surgery, Vol.17(Suppl 1), pp.A92-A93
07/01/2025
DOI: 10.1136/jnis-2025-SNIS.115
Abstract
BackgroundSocioeconomic status influences health outcomes, including cerebrovascular diseases. Patients from socioeconomically deprived areas may present with more severe conditions due to delayed access to care. This study evaluates the association between neighborhood-level deprivation, measured by the Area Deprivation Index (ADI), and the treatment of RIAs (ruptured intracranial aneurysms) compared to unruptured intracranial aneurysms (UIAs) across multiple centers.MethodsThis retrospective cohort study analyzed data from 4,580 patients treated for cerebral aneurysms at nine U.S. comprehensive stroke centers between 2018 and 2024. Patients were stratified by national ADI quintiles based on their residential addresses. Multivariable logistic regression was used to examine the relationship between ADI and aneurysm rupture, adjusting for demographic and clinical covariates.ResultsOf 4,580 total patients, 1,217 (26.6%) presented with RIAs. Univariate analysis showed an upward trend between RIA presentation and higher ADI quintiles (OR = 1.162, 95% CI = 1.109–1.218, p<0.0001). Multivariable analysis confirmed ADI as an independent predictor of RIA presentation (OR = 1.131, 95% CI = 1.075–1.189, p<0.0001), after adjusting for age, sex, smoking history, and race.ConclusionsSocioeconomic deprivation independently predicts treatment of RIAs compared to the treatment of UIAs. These findings highlight disparities in aneurysm detection and management, emphasizing the need for targeted preventive care and accessible screening programs to mitigate the impact of socioeconomic disadvantage on cerebral aneurysm outcomes.Abstract P-043 Figure 1Abstract P-043 Figure 2DisclosuresS. Bheemireddy: None. A. Gajjar: None. M. Abe: None. A. Custozzo: None. S. Lipp: None. A. Ringer: None. M. Essibayi: None. D. Altschul: None. O. Goren: None. J. Oliver: None. J. Reese: None. P. Entezami: None. I. Chaudry: None. S. Manos: None. E. Sagues: None. A. Gudino: None. E. Samaniego: None. A. Kuhn: None. J. Singh: None. A. Puri: None. J. Roy: None. K. El Naamani: None. M. Gooch: None. V. Jaikumar: None. A. Siddiqui: None. A. Boulos: None. J. Dalfino: None. A. Paul: None.
Details
- Title: Subtitle
- P-043 Multi-center study of association between socioeconomic status and treatment of ruptured cerebral aneurysms compared to unruptured cerebral aneurysms: insights from 4,580 patients using the area deprivation index
- Creators
- S Bheemireddy - Albany Medical Center HospitalA Gajjar - Albany Medical Center HospitalM Abe - Albany Medical Center HospitalA Custozzo - Albany Medical Center HospitalS Lipp - Mayfield Brain & SpineA Ringer - Mayfield Brain & SpineM Essibayi - Albany Medical Center HospitalD Altschul - Montefiore Medical CenterO Goren - Geisinger Neuroscience InstituteJ Oliver - Geisinger Neuroscience InstituteJ Reese - Henry Ford Health SystemP Entezami - Henry Ford Health SystemI Chaudry - Prisma HealthS Manos - Prisma HealthE Sagues - University of IowaA Gudino - University of Iowa Hospitals and ClinicsE Samaniego - University of Iowa Hospitals and ClinicsA KuhnJ Singh - University of Massachusetts Chan Medical SchoolA Puri - University of Massachusetts Chan Medical SchoolJ Roy - Thomas Jefferson UniversityK El Naamani - Thomas Jefferson UniversityM GoochV Jaikumar - University at Buffalo, State University of New YorkA Siddiqui - Thomas Jefferson UniversityA Boulos - Albany Medical Center HospitalJ Dalfino - Albany Medical Center HospitalA Paul - Albany Medical Center Hospital
- Resource Type
- Abstract
- Publication Details
- Journal of neurointerventional surgery, Vol.17(Suppl 1), pp.A92-A93
- DOI
- 10.1136/jnis-2025-SNIS.115
- ISSN
- 1759-8478
- eISSN
- 1759-8486
- Publisher
- BMJ Publishing Group LTD
- Language
- English
- Date published
- 07/01/2025
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984865314602771
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