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

Council on Clinical Cardiology, American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing

Research output: Contribution to journalArticle

887 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2032-2060
Number of pages29
JournalStroke
Volume46
Issue number7
DOIs
StatePublished - Jul 1 2015

Fingerprint

Cerebral Hemorrhage
Guidelines
Delivery of Health Care
Secondary Prevention
Stroke
Telecommunications
Intracranial Pressure
PubMed
Brain Injuries
Patient Care
Therapeutics
Blood Pressure

Keywords

  • AHA Scientific Statements
  • blood pressure
  • coagulopathy
  • diagnosis
  • intracerebral hemorrhage
  • intraventricular hemorrhage
  • surgery
  • treatment

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Council on Clinical Cardiology, American Heart Association Stroke Council, & Council on Cardiovascular and Stroke Nursing (2015). Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, 46(7), 2032-2060. https://doi.org/10.1161/STR.0000000000000069

Guidelines for the Management of Spontaneous Intracerebral Hemorrhage : A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. / Council on Clinical Cardiology; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing.

In: Stroke, Vol. 46, No. 7, 01.07.2015, p. 2032-2060.

Research output: Contribution to journalArticle

Council on Clinical Cardiology, American Heart Association Stroke Council & Council on Cardiovascular and Stroke Nursing 2015, 'Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association', Stroke, vol. 46, no. 7, pp. 2032-2060. https://doi.org/10.1161/STR.0000000000000069
Council on Clinical Cardiology, American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2015 Jul 1;46(7):2032-2060. https://doi.org/10.1161/STR.0000000000000069
Council on Clinical Cardiology ; American Heart Association Stroke Council ; Council on Cardiovascular and Stroke Nursing. / Guidelines for the Management of Spontaneous Intracerebral Hemorrhage : A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. In: Stroke. 2015 ; Vol. 46, No. 7. pp. 2032-2060.
@article{7b1bda930ebf4800bc44acff7cb8a852,
title = "Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association",
abstract = "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.",
keywords = "AHA Scientific Statements, blood pressure, coagulopathy, diagnosis, intracerebral hemorrhage, intraventricular hemorrhage, surgery, treatment",
author = "{Council on Clinical Cardiology} and {American Heart Association Stroke Council} and {Council on Cardiovascular and Stroke Nursing} and Hemphill, {J. Claude} and Greenberg, {Steven M.} and Anderson, {Craig S.} and Kyra Becker and Bernard Bendok and Mary Cushman and Fung, {Gordon L.} and Goldstein, {Joshua N.} and Macdonald, {R. Loch} and Mitchell, {Pamela H.} and Scott, {Phillip A.} and Selim, {Magdy H.} and Daniel Woo",
year = "2015",
month = "7",
day = "1",
doi = "10.1161/STR.0000000000000069",
language = "English (US)",
volume = "46",
pages = "2032--2060",
journal = "Stroke",
issn = "0039-2499",
publisher = "Lippincott Williams and Wilkins",
number = "7",

}

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 - Council on Clinical Cardiology

AU - American Heart Association Stroke Council

AU - Council on Cardiovascular and Stroke Nursing

AU - Hemphill, J. Claude

AU - Greenberg, Steven M.

AU - Anderson, Craig S.

AU - Becker, Kyra

AU - Bendok, Bernard

AU - Cushman, Mary

AU - Fung, Gordon L.

AU - Goldstein, Joshua N.

AU - Macdonald, R. Loch

AU - Mitchell, Pamela H.

AU - Scott, Phillip A.

AU - Selim, Magdy H.

AU - Woo, Daniel

PY - 2015/7/1

Y1 - 2015/7/1

N2 - 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.

AB - 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.

KW - AHA Scientific Statements

KW - blood pressure

KW - coagulopathy

KW - diagnosis

KW - intracerebral hemorrhage

KW - intraventricular hemorrhage

KW - surgery

KW - treatment

UR - http://www.scopus.com/inward/record.url?scp=84941079043&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84941079043&partnerID=8YFLogxK

U2 - 10.1161/STR.0000000000000069

DO - 10.1161/STR.0000000000000069

M3 - Article

C2 - 26022637

AN - SCOPUS:84941079043

VL - 46

SP - 2032

EP - 2060

JO - Stroke

JF - Stroke

SN - 0039-2499

IS - 7

ER -