Association of metabolic syndrome with ruptured status of intracranial aneurysms in a definitively treated cohort: a retrospective cohort analysis - Summary - MDSpire

Association of metabolic syndrome with ruptured status of intracranial aneurysms in a definitively treated cohort: a retrospective cohort analysis

  • By

  • Zisheng Liu

  • Xidong Wu

  • Jiaming Xu

  • Jianyong Cai

  • Huajun Ba

  • Qun Lin

  • Jun Sun

  • Weizhong Shi

  • May 22, 2026

  • 0 min

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Objective:

To examine the association between metabolic syndrome (MetS), its burden, and individual components with ruptured status in patients with intracranial aneurysms undergoing definitive treatment.

Key Findings:
  • MetS was more prevalent in the ruptured group (59.9%) compared to the unruptured group (40.1%).
  • Binary MetS was independently associated with ruptured status (adjusted OR 1.83, 95% CI 1.31–2.54).
  • Higher MetS scores showed a graded association with ruptured status.
  • Elevated glucose (adjusted OR 2.56), reduced high-density lipoprotein cholesterol (adjusted OR 2.35), and elevated blood pressure (adjusted OR 1.71) had the strongest associations with ruptured status.
  • The component-based model had the highest AUC (0.711), indicating moderate discrimination.
Interpretation:

The findings suggest an association between MetS and ruptured intracranial aneurysm status, with specific components showing stronger associations.

Limitations:
  • The study is retrospective and cannot establish causality.
  • Results require prospective multicenter validation.
  • Conservatively managed unruptured aneurysms were not included, limiting the generalizability of findings.
Conclusion:

MetS and its components are associated with ruptured aneurysm status in treated patients, warranting further investigation.

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