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

Lewis B. Morgenstern, J. Claude Hemphill, Craig Anderson, Kyra Becker, Joseph P. Broderick, E. Sander Connolly, Steven M. Greenberg, James N. Huang, R. Loch MacDonald, Steven R. Messé, Pamela H. Mitchell, Magdy Selim, Rafael J. Tamargo

Research output: Contribution to journalReview articlepeer-review

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 (US)
Pages (from-to)2108-2129
Number of pages22
JournalStroke
Volume41
Issue number9
DOIs
StatePublished - Sep 2010
Externally publishedYes

Keywords

  • AHA Scientific Statements
  • diagnosis
  • hydrocephalus
  • intracerebral hemorrhage
  • intracranial pressure
  • surgery
  • treatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Fingerprint Dive into the research topics of 'Guidelines for the management of spontaneous intracerebral hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association'. Together they form a unique fingerprint.

Cite this