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
Recommended Citation
Bheemireddy S, Gajjar A, Abe M, Custozzo A, Lipp S, Ringer A, Essibayi M, Altschul D, Goren O, Oliver J, Reese J, Entezami P, Chaudry I, Manos S, Sagues E, Gudino A, Samaniego E, Kuhn A, Singh J, Puri A, Roy J, El Naamani K, Gooch M, Jaikumar V, Siddiqui A, Boulos A, Dalfino J, Paul A. 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. J Neurointerv Surg 2025; 17:A92-A93.
Document Type
Conference Proceeding
Publication Date
7-13-2025
Publication Title
J Neurointerv Surg
Abstract
Background Socioeconomic 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. Methods This 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. Results Of 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. Conclusions Socioeconomic 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.
Volume
17
First Page
A92
Last Page
A93
