Guidelines for the Management of Spontaneous Intracerebral Hemorrhage
Top Cited Papers
Open Access
- 1 July 2015
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Stroke
- Vol. 46 (7), 2032-2060
- https://doi.org/10.1161/str.0000000000000069
Abstract
Purpose—The aim of this guideline is to present current and comprehensive recommendations for the diagnosis and treatment of spontaneous intracerebral hemorrhage. Methods—A formal literature search of PubMed was performed through the end of August 2013. The writing committee met by teleconference to discuss narrative text and recommendations. Recommendations follow the American Heart Association/American Stroke Association methods of classifying the level of certainty of the treatment effect and the class of evidence. Prerelease review of the draft guideline was performed by 6 expert peer reviewers and by the members of the Stroke Council Scientific Oversight Committee and Stroke Council Leadership Committee. Results—Evidence-based guidelines are presented for the care of patients with acute intracerebral hemorrhage. Topics focused on diagnosis, management of coagulopathy and blood pressure, prevention and control of secondary brain injury and intracranial pressure, the role of surgery, outcome prediction, rehabilitation, secondary prevention, and future considerations. Results of new phase 3 trials were incorporated. Conclusions—Intracerebral hemorrhage remains a serious condition for which early aggressive care is warranted. These guidelines provide a framework for goal-directed treatment of the patient with intracerebral hemorrhage.Keywords
This publication has 314 references indexed in Scilit:
- Clinical review: Clinical management of new oral anticoagulants: a structured review with emphasis on the reversal of bleeding complicationsCritical Care, 2013
- Resistant Hypertension and Obstructive Sleep ApneaInternational Journal of Hypertension, 2013
- Ischemic-appearing electrocardiographic changes predict myocardial injury in patients with intracerebral hemorrhageThe American Journal of Emergency Medicine, 2012
- Antihypertensive Treatment of Acute Cerebral Hemorrhage (ATACH) II: Design, Methods, and RationaleNeurocritical Care, 2011
- Statin Use Following Intracerebral HemorrhageArchives of Neurology, 2011
- Effectiveness of thigh-length graduated compression stockings to reduce the risk of deep vein thrombosis after stroke (CLOTS trial 1): a multicentre, randomised controlled trialThe Lancet, 2009
- Clinical Nihilism in NeuroemergenciesEmergency Medicine Clinics of North America, 2009
- Low-Tidal-Volume Ventilation in the Acute Respiratory Distress SyndromeThe New England Journal of Medicine, 2007
- Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparisonThe Lancet, 2007
- Prevalence of elevated blood pressure in 563704 adult patients with stroke presenting to the ED in the United StatesThe American Journal of Emergency Medicine, 2007