Coma in adult cerebral venous thrombosis: The BEAST study.
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| Title: | Coma in adult cerebral venous thrombosis: The BEAST study. |
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| Authors: | Ranjan, Redoy (AUTHOR), Ken‐Dror, Gie (AUTHOR), Martinelli, Ida (AUTHOR), Grandone, Elvira (AUTHOR), Hiltunen, Sini (AUTHOR), Lindgren, Erik (AUTHOR), Margaglione, Maurizio (AUTHOR), Duchez, Veronique Le Cam (AUTHOR), Triquenot Bagan, Aude (AUTHOR), Zedde, Marialuisa (AUTHOR), Giannini, Nicola (AUTHOR), Ruigrok, Ynte M. (AUTHOR), Worrall, Bradford B. (AUTHOR), Majersik, Jennifer J. (AUTHOR), Putaala, Jukka (AUTHOR), Haapaniemi, Elena (AUTHOR), Zuurbier, Susanna M. (AUTHOR), Brouwer, Matthijs C. (AUTHOR), Passamonti, Serena M. (AUTHOR), Abbattista, Maria (AUTHOR) |
| Source: | European Journal of Neurology. Aug2024, Vol. 31 Issue 8, p1-6. 6p. |
| Subjects: | Cerebral embolism & thrombosis, Venous thrombosis, Receiver operating characteristic curves, Coma, Sinus thrombosis |
| Abstract: | Background and purpose: Coma is an independent predictor of poor clinical outcomes in cerebral venous thrombosis (CVT). We aimed to describe the association of age, sex, and radiological characteristics of adult coma patients with CVT. Methods: We used data from the international, multicentre prospective observational BEAST (Biorepository to Establish the Aetiology of Sinovenous Thrombosis) study. Only positively associated variables with coma with <10% missing data in univariate analysis were considered for the multivariate logistic regression model. Results: Of the 596 adult patients with CVT (75.7% women), 53 (8.9%) patients suffered coma. Despite being a female‐predominant disease, the prevalence of coma was higher among men than women (13.1% vs. 7.5%, p = 0.04). Transverse sinus thrombosis was least likely to be associated with coma (23.9% vs. 73.3%, p < 0.001). The prevalence of superior sagittal sinus thrombosis was higher among men than women in the coma sample (73.6% vs. 37.5%, p = 0.01). Men were significantly older than women, with a median (interquartile range) age of 51 (38.5–60) versus 40 (33–47) years in the coma (p = 0.04) and 44.5 (34–58) versus 37 (29–48) years in the non‐coma sample (p < 0.001), respectively. Furthermore, an age‐ and superior sagittal sinus‐adjusted multivariate logistic regression model found male sex (odds ratio = 1.8, 95% confidence interval [CI] = 1.0–3.4, p = 0.04) to be an independent predictor of coma in CVT, with an area under the receiver operating characteristic curve of 0.61 (95% CI = 0.52–0.68, p = 0.01). Conclusions: Although CVT is a female‐predominant disease, men were older and nearly twice as likely to suffer from coma than women. [ABSTRACT FROM AUTHOR] |
| Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 178297429 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Coma in adult cerebral venous thrombosis: The BEAST study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ranjan%2C+Redoy%22">Ranjan, Redoy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ken‐Dror%2C+Gie%22">Ken‐Dror, Gie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martinelli%2C+Ida%22">Martinelli, Ida</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grandone%2C+Elvira%22">Grandone, Elvira</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hiltunen%2C+Sini%22">Hiltunen, Sini</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lindgren%2C+Erik%22">Lindgren, Erik</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Margaglione%2C+Maurizio%22">Margaglione, Maurizio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Duchez%2C+Veronique+Le+Cam%22">Duchez, Veronique Le Cam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Triquenot Bagan%2C+Aude%22">Triquenot Bagan, Aude</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zedde%2C+Marialuisa%22">Zedde, Marialuisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Giannini%2C+Nicola%22">Giannini, Nicola</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ruigrok%2C+Ynte+M%2E%22">Ruigrok, Ynte M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Worrall%2C+Bradford+B%2E%22">Worrall, Bradford B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Majersik%2C+Jennifer+J%2E%22">Majersik, Jennifer J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Putaala%2C+Jukka%22">Putaala, Jukka</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haapaniemi%2C+Elena%22">Haapaniemi, Elena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zuurbier%2C+Susanna+M%2E%22">Zuurbier, Susanna M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brouwer%2C+Matthijs+C%2E%22">Brouwer, Matthijs C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Passamonti%2C+Serena+M%2E%22">Passamonti, Serena M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abbattista%2C+Maria%22">Abbattista, Maria</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Journal+of+Neurology%22">European Journal of Neurology</searchLink>. Aug2024, Vol. 31 Issue 8, p1-6. 6p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cerebral+embolism+%26+thrombosis%22">Cerebral embolism & thrombosis</searchLink><br /><searchLink fieldCode="DE" term="%22Venous+thrombosis%22">Venous thrombosis</searchLink><br /><searchLink fieldCode="DE" term="%22Receiver+operating+characteristic+curves%22">Receiver operating characteristic curves</searchLink><br /><searchLink fieldCode="DE" term="%22Coma%22">Coma</searchLink><br /><searchLink fieldCode="DE" term="%22Sinus+thrombosis%22">Sinus thrombosis</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background and purpose: Coma is an independent predictor of poor clinical outcomes in cerebral venous thrombosis (CVT). We aimed to describe the association of age, sex, and radiological characteristics of adult coma patients with CVT. Methods: We used data from the international, multicentre prospective observational BEAST (Biorepository to Establish the Aetiology of Sinovenous Thrombosis) study. Only positively associated variables with coma with <10% missing data in univariate analysis were considered for the multivariate logistic regression model. Results: Of the 596 adult patients with CVT (75.7% women), 53 (8.9%) patients suffered coma. Despite being a female‐predominant disease, the prevalence of coma was higher among men than women (13.1% vs. 7.5%, p = 0.04). Transverse sinus thrombosis was least likely to be associated with coma (23.9% vs. 73.3%, p < 0.001). The prevalence of superior sagittal sinus thrombosis was higher among men than women in the coma sample (73.6% vs. 37.5%, p = 0.01). Men were significantly older than women, with a median (interquartile range) age of 51 (38.5–60) versus 40 (33–47) years in the coma (p = 0.04) and 44.5 (34–58) versus 37 (29–48) years in the non‐coma sample (p < 0.001), respectively. Furthermore, an age‐ and superior sagittal sinus‐adjusted multivariate logistic regression model found male sex (odds ratio = 1.8, 95% confidence interval [CI] = 1.0–3.4, p = 0.04) to be an independent predictor of coma in CVT, with an area under the receiver operating characteristic curve of 0.61 (95% CI = 0.52–0.68, p = 0.01). Conclusions: Although CVT is a female‐predominant disease, men were older and nearly twice as likely to suffer from coma than women. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/ene.16311 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 1 Subjects: – SubjectFull: Cerebral embolism & thrombosis Type: general – SubjectFull: Venous thrombosis Type: general – SubjectFull: Receiver operating characteristic curves Type: general – SubjectFull: Coma Type: general – SubjectFull: Sinus thrombosis Type: general Titles: – TitleFull: Coma in adult cerebral venous thrombosis: The BEAST study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ranjan, Redoy – PersonEntity: Name: NameFull: Ken‐Dror, Gie – PersonEntity: Name: NameFull: Martinelli, Ida – PersonEntity: Name: NameFull: Grandone, Elvira – PersonEntity: Name: NameFull: Hiltunen, Sini – PersonEntity: Name: NameFull: Lindgren, Erik – PersonEntity: Name: NameFull: Margaglione, Maurizio – PersonEntity: Name: NameFull: Duchez, Veronique Le Cam – PersonEntity: Name: NameFull: Triquenot Bagan, Aude – PersonEntity: Name: NameFull: Zedde, Marialuisa – PersonEntity: Name: NameFull: Giannini, Nicola – PersonEntity: Name: NameFull: Ruigrok, Ynte M. – PersonEntity: Name: NameFull: Worrall, Bradford B. – PersonEntity: Name: NameFull: Majersik, Jennifer J. – PersonEntity: Name: NameFull: Putaala, Jukka – PersonEntity: Name: NameFull: Haapaniemi, Elena – PersonEntity: Name: NameFull: Zuurbier, Susanna M. – PersonEntity: Name: NameFull: Brouwer, Matthijs C. – PersonEntity: Name: NameFull: Passamonti, Serena M. – PersonEntity: Name: NameFull: Abbattista, Maria IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 13515101 Numbering: – Type: volume Value: 31 – Type: issue Value: 8 Titles: – TitleFull: European Journal of Neurology Type: main |
| ResultId | 1 |