1 This suggests that excellent medical care likely has a potent, direct impact on ICH morbidity and mortality now, even before a specific therapy is found. Recent population-based studies suggest that most patients present with small ICHs that are readily survivable with good medical care. Although much has been made of the lack of a specific targeted therapy, much less is written about the success and goals of aggressive medical and surgical care for this disease. Spontaneous, nontraumatic intracerebral hemorrhage (ICH) is a significant cause of morbidity and mortality throughout the world. The guidelines offer a framework for goal-directed treatment of the patient with intracerebral hemorrhage. The focus was subdivided into diagnosis, hemostasis, blood pressure management, inpatient and nursing management, preventing medical comorbidities, surgical treatment, outcome prediction, rehabilitation, prevention of recurrence, and future considerations.Ĭonclusions-Intracerebral hemorrhage is a serious medical condition for which outcome can be impacted by early, aggressive care. Results-Evidence-based guidelines are presented for the care of patients presenting with intracerebral hemorrhage. It is intended that this guideline be fully updated in 3 years’ time.

Prerelease review of the draft guideline was performed by 6 expert peer reviewers and by the members of the Stroke Council Scientific Statements Oversight Committee and Stroke Council Leadership Committee. The American Heart Association Stroke Council’s Levels of Evidence grading algorithm was used to grade each recommendation. Writing committee members met by teleconference to discuss data-derived recommendations. Data were synthesized with the use of evidence tables. Methods-A formal literature search of MEDLINE was performed. Purpose-The aim of this guideline is to present current and comprehensive recommendations for the diagnosis and treatment of acute spontaneous intracerebral hemorrhage. Customer Service and Ordering Information.Stroke: Vascular and Interventional Neurology.Journal of the American Heart Association (JAHA).Circ: Cardiovascular Quality & Outcomes.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB).

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