Guidelines for the management of spontaneous intracerebral hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association

Lewis Morgenstern, J Hemphill, Craig Anderson, Kyra Becker, Joseph Broderick, Edward Connolly, Steven Greenberg, James Huang, Robert MacDonald, Steven Messe, Pamela Mitchell, Magdy Selim, Rafael Tamargo

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    1134 Citations (Scopus)

    Abstract

    Purpose-: The aim of this guideline is to present current and comprehensive recommendations for the diagnosis and treatment of acute spontaneous intracerebral hemorrhage. Methods-: A formal literature search of MEDLINE was performed. Data were synthesized with the use of evidence tables. Writing committee members met by teleconference to discuss data-derived recommendations. The American Heart Association Stroke Council's Levels of Evidence grading algorithm was used to grade each recommendation. 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. It is intended that this guideline be fully updated in 3 years' time. Results-: Evidence-based guidelines are presented for the care of patients presenting 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. Conclusions-: Intracerebral hemorrhage is a serious medical condition for which outcome can be impacted by early, aggressive care. The guidelines offer a framework for goal-directed treatment of the patient with intracerebral hemorrhage.

    Original languageEnglish
    Pages (from-to)2108-2129
    Number of pages22
    JournalStroke
    Volume41
    Issue number9
    DOIs
    Publication statusPublished - 2010

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    Morgenstern, L., Hemphill, J., Anderson, C., Becker, K., Broderick, J., Connolly, E., Greenberg, S., Huang, J., MacDonald, R., Messe, S., Mitchell, P., Selim, M., & Tamargo, R. (2010). Guidelines for the management of spontaneous intracerebral hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 41(9), 2108-2129. https://doi.org/10.1161/STR.0b013e3181ec611b