Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,938 questions · 1,994 findings · 246 reviews · Headline outcomes only

No studies found 490 · 24.6%GRADE not reported 71 · 3.6%Very low 669 · 33.6%Low 446 · 22.4%Moderate 264 · 13.2%High 54 · 2.7%

Endovascular coiling vs neurosurgical clipping

Death or dependence · people with subarachnoid haemorrhage from a ruptured intracranial aneurysm

Endovascular coiling probably leads to lower poor outcome: death or dependence in daily activities (12 months) compared with neurosurgical clipping (moderate certainty).

2 findings from 1 review

Endovascular coiling vs neurosurgical clipping

Death from any cause (12 months) · people with subarachnoid haemorrhage from a ruptured intracranial aneurysm

Endovascular coiling showed no clear difference in death from any cause (12 months) compared with neurosurgical clipping (moderate certainty).

1 finding from 1 review

Endovascular coiling vs neurosurgical clipping

Delayed cerebral ischaemia · people with subarachnoid haemorrhage from a ruptured intracranial aneurysm

Endovascular coiling probably leads to lower delayed cerebral ischaemia (2–3 months) compared with neurosurgical clipping (moderate certainty).

1 finding from 1 review

Endovascular coiling vs neurosurgical clipping

Rebleeding · people with subarachnoid haemorrhage from a ruptured intracranial aneurysm

Endovascular coiling leads to higher rebleeding postprocedure up to 1 year compared with neurosurgical clipping (high certainty).

2 findings from 1 review

Endovascular coiling vs neurosurgical clipping

Complications from the intervention · people with subarachnoid haemorrhage from a ruptured intracranial aneurysm

Endovascular coiling showed no clear difference in complications from the intervention compared with neurosurgical clipping (low certainty).

1 finding from 1 review

Intervention not reported

Postoperative delirium (POD) within 7 days (As assessed by any method such as the Mini‐Mental State Examination (MMSE) and Confusion Assessment Method (CAM) in the first week after operation) · adults aged 18 years or over undergoing general anaesthesia for non‐cardiac or non‐neurosurgical elective operations

The intervention probably leads to lower postoperative delirium (POD) within 7 days (As assessed by any… (moderate certainty).

1 finding from 1 review

Intervention not reported

Postoperative cognitive dysfunction (POCD) (As determined by any method of assessing POCD including a battery of neuropsychological tests according to the criteria described by the International Study of Postoperative Cognitive Dysfunction (ISPOCD)) · adults aged 18 years or over undergoing general anaesthesia for non‐cardiac or non‐neurosurgical elective operations

The intervention showed no clear difference in postoperative cognitive dysfunction (POCD) (As determined by any… (moderate certainty).

1 finding from 1 review

Intervention not reported

Any postoperative complication · adults aged 18 years or over undergoing general anaesthesia for non‐cardiac or non‐neurosurgical elective operations

The intervention probably leads to lower any postoperative complication (moderate certainty).

1 finding from 1 review