title: Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group.
abstract: OBJECTIVE
  The aim of this statement 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 through the end date of August 2006. The results of this search were complemented by additional articles on related issues known to the writing committee. Data were synthesized with the use of evidence tables. 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 5 expert peer reviewers and by the members of the 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 diagnosis of intracerebral hemorrhage, the management of increased arterial blood pressure and intracranial pressure, the treatment of medical complications of intracerebral hemorrhage, and the prevention of recurrent intracerebral hemorrhage. Recent trials of recombinant factor VII to slow initial bleeding are discussed. Recommendations for various surgical approaches for treatment of spontaneous intracerebral hemorrhage are presented. Finally, withdrawal-of-care and end-of-life issues in patients with intracerebral hemorrhage are examined.
authors.affiliation: University of Cincinnati, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Broderick
authors.forename: Sander
authors.initials: S
authors.lastname: Connolly
authors.forename: Edward
authors.initials: E
authors.lastname: Feldmann
authors.forename: Daniel
authors.initials: D
authors.lastname: Hanley
authors.forename: Carlos
authors.initials: C
authors.lastname: Kase
authors.forename: Derk
authors.initials: D
authors.lastname: Krieger
authors.forename: Marc
authors.initials: M
authors.lastname: Mayberg
authors.forename: Lewis
authors.initials: L
authors.lastname: Morgenstern
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Ogilvy
authors.forename: Paul
authors.initials: P
authors.lastname: Vespa
authors.forename: Mario
authors.initials: M
authors.lastname: Zuccarello
mesh_terms: D000328:Adult; D000572:American Heart Association; D001794:Blood Pressure / Q000502:physiology; D002543:Cerebral Hemorrhage / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000628:therapy*; D009307:National Academy of Sciences, U.S.; D011787:Quality of Health Care / Q000639:trends*; D014481:United States