Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of intracerebral haemorrhage

Yong Cao, Songlin Yu, Qian Zhang, Tao Yu, Yanfang Liu, Zhenghui Sun, Meng Zhao, Wen Wang, Ji Zong Zhao, Chinese Stroke Association Stroke Council Guideline, Yongjun Wang, Jizong Zhao, Qiang Dong, Anding Xu, Kangning Chen, Junbo Ge, Li Guo, Li He, Bo Hu, Yong Huo, Linong Ji, Xunming Ji, Tielin Li, Liping Liu, Benyan Luo, Zhongrong Miao, Xiaoyuan Niu, Bin Peng, Dingfeng Su, Beisha Tang, Chen Wang, Ning Wang, Shuo Wang, Wei Wang, Xin Wang, Yilong Wang, Shizheng Wu, Peng Xie, Yuming Xu, Yun Xu, Yi Yang, Jinsheng Zeng, Chaodong Zhang, Tong Zhang, Zhuo Zhang, Gang Zhao, Xingquan Zhao, Yong Cao, Songlin Yu, Qian Zhang, Tao Yu, Yanfang Liu, Zhenghui Sun, Meng Zhao, Wen Wang, Ji Zong Zhao, Chinese Stroke Association Stroke Council Guideline, Yongjun Wang, Jizong Zhao, Qiang Dong, Anding Xu, Kangning Chen, Junbo Ge, Li Guo, Li He, Bo Hu, Yong Huo, Linong Ji, Xunming Ji, Tielin Li, Liping Liu, Benyan Luo, Zhongrong Miao, Xiaoyuan Niu, Bin Peng, Dingfeng Su, Beisha Tang, Chen Wang, Ning Wang, Shuo Wang, Wei Wang, Xin Wang, Yilong Wang, Shizheng Wu, Peng Xie, Yuming Xu, Yun Xu, Yi Yang, Jinsheng Zeng, Chaodong Zhang, Tong Zhang, Zhuo Zhang, Gang Zhao, Xingquan Zhao

Abstract

Aim: This evidence-based guideline aims to present current and comprehensive recommendations for the diagnosis and management of spontaneous intracerebral haemorrhage (ICH).

Methods: A formal literature search was conducted on MEDLINE (1 January 1990 to 30 June 2019). Data were synthesised using evidence tables. The members of the working group met by teleconference to update and formulate data-based recommendations. The recommendations are graded according to levels of evidence grading algorithm of the Chinese Stroke Association. The guideline draft has been reviewed by Chinese Stroke Association Stroke Council Guideline Writing Committee.

Results: Evidence-based guideline is proposed for the management of patients with ICH. The focus of the guideline is divided into the diagnosis and aetiology of ICH, management of ICH in emergency department, surgical treatment for removal of hematoma, management of complications and prevention of secondary ICH.

Conclusions: This guideline provides a framework for ICH management. Early active and reasonable treatment may improve the clinical outcome of patients.

Keywords: brain; hemorrhage; stroke.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

Figure 1
Figure 1
Flowchart of the management of patients with ICH. BP, blood pressure; ICH, intracerebral haemorrhage; IVH, intraventricular haemorrhage.
Figure 2
Figure 2
Flowchart of the management of ICH in ED. BP, blood pressure; ED, emergency department; ICH, intracerebral haemorrhage; SBP, systolic blood pressure.
Figure 3
Figure 3
Flowchart of surgical treatment for intracerebral haemorrhage. CPP, cerebral perfusion pressure; GCS, Glasgow Coma Scale; ICH, intracerebral haemorrhage; ICP, intracranial pressure; rt-PA, recombinant tissue plasminogen activator.

References

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Source: PubMed

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