Guidelines for the management of spontaneous intracerebral hemorrhage: a
guideline for healthcare professionals from the American Heart
Association/American Stroke Association
#MMPMID20651276
Morgenstern LB
; Hemphill JC 3rd
; Anderson C
; Becker K
; Broderick JP
; Connolly ES Jr
; Greenberg SM
; Huang JN
; MacDonald RL
; Messé SR
; Mitchell PH
; Selim M
; Tamargo RJ
Stroke
2010[Sep]; 41
(9
): 2108-29
PMID20651276
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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.
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