Parry-Jones, Adrian R; Järhult, Susann J; Kreitzer, Natalie; Morotti, Andrea; Toni, Danilo; Seiffge, David; Mendelow, Alexander David; Patel, Hiren; Brouwers, Hens Bart; Klijn, Catharina Jm; Steiner, Thorsten; Gibler, Walter Brian; Goldstein, Joshua N (2023). Acute care bundles should be used for patients with intracerebral haemorrhage: An expert consensus statement. (In Press). European stroke journal, p. 23969873231220235. Sage 10.1177/23969873231220235
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PURPOSE
Intracerebral haemorrhage (ICH) is the most devastating form of stroke and a major cause of disability. Clinical trials of individual therapies have failed to definitively establish a specific beneficial treatment. However, clinical trials of introducing care bundles, with multiple therapies provided in parallel, appear to clearly reduce morbidity and mortality. Currently, not enough patients receive these interventions in the acute phase.
METHODS
We convened an expert group to discuss best practices in ICH and to develop recommendations for bundled care that can be delivered in all settings that treat acute ICH, with a focus on European healthcare systems.
FINDINGS
In this consensus paper, we argue for widespread implementation of formalised care bundles in ICH, including specific metrics for time to treatment and criteria for the consideration of neurosurgical therapy.
DISCUSSION
There is an extraordinary opportunity to improve clinical care and clinical outcomes in this devastating disease. Substantial evidence already exists for a range of therapies that can and should be implemented now.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology |
UniBE Contributor: |
Seiffge, David Julian |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2396-9881 |
Publisher: |
Sage |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
03 Jan 2024 17:39 |
Last Modified: |
04 Jan 2024 21:45 |
Publisher DOI: |
10.1177/23969873231220235 |
PubMed ID: |
38149323 |
Uncontrolled Keywords: |
Intracerebral haemorrhage blood pressure care bundles fever haematoma evacuation hyperglycaemia oral anticoagulants |
BORIS DOI: |
10.48350/190832 |
URI: |
https://boris.unibe.ch/id/eprint/190832 |
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