TY - JOUR
T1 - Guidelines for the management of spontaneous intracerebral hemorrhage
T2 - A guideline for healthcare professionals from the American Heart Association/American Stroke Association
AU - Morgenstern, Lewis B.
AU - Hemphill, J. Claude
AU - Anderson, Craig
AU - Becker, Kyra
AU - Broderick, Joseph P.
AU - Connolly, E. Sander
AU - Greenberg, Steven M.
AU - Huang, James N.
AU - MacDonald, R. Loch
AU - Messé, Steven R.
AU - Mitchell, Pamela H.
AU - Selim, Magdy
AU - Tamargo, Rafael J.
PY - 2010/9
Y1 - 2010/9
N2 - 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.
AB - 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.
KW - AHA Scientific Statements
KW - diagnosis
KW - hydrocephalus
KW - intracerebral hemorrhage
KW - intracranial pressure
KW - surgery
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=77956418271&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77956418271&partnerID=8YFLogxK
U2 - 10.1161/STR.0b013e3181ec611b
DO - 10.1161/STR.0b013e3181ec611b
M3 - Review article
C2 - 20651276
AN - SCOPUS:77956418271
SN - 0039-2499
VL - 41
SP - 2108
EP - 2129
JO - Stroke
JF - Stroke
IS - 9
ER -