Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

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...

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Veröffentlicht in:Stroke (1970) 2015-07, Vol.46 (7), p.2032-2060
Hauptverfasser: Hemphill, J Claude, Greenberg, Steven M, Anderson, Craig S, Becker, Kyra, Bendok, Bernard R, Cushman, Mary, Fung, Gordon L, Goldstein, Joshua N, Macdonald, R Loch, Mitchell, Pamela H, Scott, Phillip A, Selim, Magdy H, Woo, Daniel
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container_end_page 2060
container_issue 7
container_start_page 2032
container_title Stroke (1970)
container_volume 46
creator Hemphill, J Claude
Greenberg, Steven M
Anderson, Craig S
Becker, Kyra
Bendok, Bernard R
Cushman, Mary
Fung, Gordon L
Goldstein, Joshua N
Macdonald, R Loch
Mitchell, Pamela H
Scott, Phillip A
Selim, Magdy H
Woo, Daniel
description 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.
doi_str_mv 10.1161/STR.0000000000000069
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; Journals@Ovid Complete
subjects American Heart Association
Cerebral Hemorrhage - diagnosis
Cerebral Hemorrhage - epidemiology
Cerebral Hemorrhage - therapy
Disease Management
Health Personnel - standards
Humans
Stroke - diagnosis
Stroke - epidemiology
Stroke - therapy
United States - epidemiology
title Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
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