02441nas a2200361 4500000000100000008004100001653001100042653002300053653003100076653002800107653001800135653002800153653002400181100001900205700001400224700001700238700001300255700001700268700001300285700001600298700001300314700001500327700001900342700001700361700001900378700001900397245018000416250001500596300001200611490000700623520140300630020004602033 2010 d10aHumans10aDiagnostic Imaging10aAmerican Heart Association10aDiagnosis, Differential10aUnited States10aEvidence-Based Medicine10aCerebral Hemorrhage1 aMorgenstern L.1 aBecker K.1 aGreenberg S.1 aHuang J.1 aMacDonald R.1 aMesse S.1 aMitchell P.1 aSelim M.1 aTamargo R.1 aHemphil J. III1 aBroderick J.1 aAnderson Craig1 aConnolly E. Jr00aGuidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association a2010/07/24 a2108-290 v413 a
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.
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