Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association.
OBJECTIVE
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.
Morgenstern
Lewis B
LB
Hemphill
J Claude
JC
Anderson
Craig
C
Becker
Kyra
K
Broderick
Joseph P
JP
Connolly
E Sander
ES
Greenberg
Steven M
SM
Huang
James N
JN
MacDonald
R Loch
RL
Messé
Steven R
SR
Mitchell
Pamela H
PH
Selim
Magdy
M
Tamargo
Rafael J
RJ
D000572:American Heart Association; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000628:therapy*; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D019317:Evidence-Based Medicine; D006801:Humans; D014481:United States