Canadian stroke best practice recommendations: Management of Spontaneous Intracerebral Hemorrhage, 7th Edition Update 2020

Ashkan Shoamanesh; M. Patrice Lindsay; Lana A. Castellucci; Anne Cayley; Mark Crowther; Kerstin de Wit; Shane W. English; Sharon Hoosein; Thien Huynh; Michael Kelly; Cian J. O’Kelly; Jeanne Teitelbaum; Samuel Yip; Dar Dowlatshahi; Eric E. Smith; Norine Foley; Aleksandra Pikula; Anita Mountain; Gord Gubitz; Laura C. Gioia

doi:10.1177/1747493020968424

Canadian stroke best practice recommendations: Management of Spontaneous Intracerebral Hemorrhage, 7th Edition Update 2020

Ashkan Shoamanesh, M. Patrice Lindsay, Lana A. Castellucci, Anne Cayley, Mark Crowther, Kerstin de Wit, Shane W. English, Sharon Hoosein, Thien Huynh, Michael Kelly, Cian J. O’Kelly, Jeanne Teitelbaum, Samuel Yip, Dar Dowlatshahi, Eric E. Smith, Norine Foley, Aleksandra Pikula, Anita Mountain, Gord Gubitz, Laura C. Gioia

Research output: Contribution to journal › Article › peer-review

85 Citations (Scopus)

Abstract

Spontaneous intracerebral hemorrhage is a particularly devastating type of stroke with greater morbidity and mortality compared with ischemic stroke and can account for half or more of all deaths from stroke. The seventh update of the Canadian Stroke Best Practice Recommendations includes a new stand-alone module on intracerebral hemorrhage, with a focus on elements of care that are unique or affect persons disproportionately relative to ischemic stroke. Prior to this edition, intracerebral hemorrhage was included in the Acute Stroke Management module and was limited to its management during the first 12 h. With the growing evidence on intracerebral hemorrhage, a separate module focused on this topic across the care continuum was added. In addition to topics related to initial clinical management, neuroimaging, blood pressure management, and surgical management, new sections have been introduced addressing topics surrounding inpatient complications such as venous thromboembolism, seizure management, and increased intracranial pressure, rehabilitation as well as issues related to secondary management including lifestyle management, maintaining a normal blood pressure and antithrombotic therapy, are addressed. The Canadian Stroke Best Practice Recommendations (CSBPR) are intended to provide up-to-date evidence-based guidelines for the prevention and management of stroke and to promote optimal recovery and reintegration for people who have experienced stroke, including patients, families, and informal caregivers.

Original language	English
Pages (from-to)	321-341
Number of pages	21
Journal	International Journal of Stroke
Volume	16
Issue number	3
DOIs	https://doi.org/10.1177/1747493020968424
Publication status	Published - Apr 2021
Externally published	Yes

Bibliographical note

Funding Information:
Heart & Stroke gratefully acknowledges the Management of Spontaneous Intracerebral Hemorrhage writing group leaders and members all of whom have volunteered their time and expertise to the update of these recommendations. Members of the Canadian Stroke Consortium and the Canadian Hemorrhagic Stroke Trials Initiative (CoHESIVE; www.phri.ca/cohesive/) were involved in all aspects of the development of these recommendations. These recommendations underwent external review by Aleksandra Pikula, Rustam Al-Shahi Salman, Steven Greenberg, Lisa Groulx, Carlos S Kase, Jeffrey Perry, Madgy Selim, Samuel Shulman, Judy Sherman, Sean Sopher, Catherine Varner, and Wendy Ziai. We thank the Canadian Stroke Best Practices Advisory Committee members, including Eric Smith, Anita Mountain, Leanne Casaubon, Gord Gubitz, Dar Dowlatshahi, Dylan Blacquiere, Thalia Field, Farrell Leibovitch, Christine Papoushek, Jeffrey Habert, Barbara Campbell, Joyce Fung, Michael Hill, Tim Hillier, Thomas Jeerakathil, Eddy Lang, Pascale Lavoie, Beth Linkewich, Colleen O’Connell, Melanie Penn, Jai Shankar, Debbie Timpson, Theodore Wein, and Katie White. We acknowledge and thank Norine Foley and the evidence analysis team at workHORSE; Laurie Charest and Andrea de Jong of Heart & Stroke for coordination of the CSBPR teams and processes; engagement of people living with stroke who participate in guideline development; and the Heart & Stroke Communications and Digital internal teams who contributed to the development of these recommendations and publication. The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: The development of the Canadian Stroke Best Practice Recommendations is funded in its entirety by the Heart and Stroke Foundation, Canada. No funds for the development of these guidelines come from commercial interests, including pharmaceutical and device companies. All members of the recommendation writing groups and external reviewers are volunteers and do not receive any remuneration for participation in guideline development, updates and reviews. All participants complete a conflict of interest declaration prior to participation.

Publisher Copyright:
© 2020 World Stroke Organization.

ASJC Scopus Subject Areas

Neurology

PubMed: MeSH publication types

Journal Article
Research Support, Non-U.S. Gov't

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10.1177/1747493020968424

Cite this

Shoamanesh, A., Patrice Lindsay, M., Castellucci, L. A., Cayley, A., Crowther, M., de Wit, K., English, S. W., Hoosein, S., Huynh, T., Kelly, M., O’Kelly, C. J., Teitelbaum, J., Yip, S., Dowlatshahi, D., Smith, E. E., Foley, N., Pikula, A., Mountain, A., Gubitz, G., & Gioia, L. C. (2021). Canadian stroke best practice recommendations: Management of Spontaneous Intracerebral Hemorrhage, 7th Edition Update 2020. International Journal of Stroke, 16(3), 321-341. https://doi.org/10.1177/1747493020968424

Shoamanesh, A, Patrice Lindsay, M, Castellucci, LA, Cayley, A, Crowther, M, de Wit, K, English, SW, Hoosein, S, Huynh, T, Kelly, M, O’Kelly, CJ, Teitelbaum, J, Yip, S, Dowlatshahi, D, Smith, EE, Foley, N, Pikula, A, Mountain, A, Gubitz, G & Gioia, LC 2021, 'Canadian stroke best practice recommendations: Management of Spontaneous Intracerebral Hemorrhage, 7th Edition Update 2020', International Journal of Stroke, vol. 16, no. 3, pp. 321-341. https://doi.org/10.1177/1747493020968424

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abstract = "Spontaneous intracerebral hemorrhage is a particularly devastating type of stroke with greater morbidity and mortality compared with ischemic stroke and can account for half or more of all deaths from stroke. The seventh update of the Canadian Stroke Best Practice Recommendations includes a new stand-alone module on intracerebral hemorrhage, with a focus on elements of care that are unique or affect persons disproportionately relative to ischemic stroke. Prior to this edition, intracerebral hemorrhage was included in the Acute Stroke Management module and was limited to its management during the first 12 h. With the growing evidence on intracerebral hemorrhage, a separate module focused on this topic across the care continuum was added. In addition to topics related to initial clinical management, neuroimaging, blood pressure management, and surgical management, new sections have been introduced addressing topics surrounding inpatient complications such as venous thromboembolism, seizure management, and increased intracranial pressure, rehabilitation as well as issues related to secondary management including lifestyle management, maintaining a normal blood pressure and antithrombotic therapy, are addressed. The Canadian Stroke Best Practice Recommendations (CSBPR) are intended to provide up-to-date evidence-based guidelines for the prevention and management of stroke and to promote optimal recovery and reintegration for people who have experienced stroke, including patients, families, and informal caregivers.",

author = "Ashkan Shoamanesh and {Patrice Lindsay}, M. and Castellucci, {Lana A.} and Anne Cayley and Mark Crowther and {de Wit}, Kerstin and English, {Shane W.} and Sharon Hoosein and Thien Huynh and Michael Kelly and O{\textquoteright}Kelly, {Cian J.} and Jeanne Teitelbaum and Samuel Yip and Dar Dowlatshahi and Smith, {Eric E.} and Norine Foley and Aleksandra Pikula and Anita Mountain and Gord Gubitz and Gioia, {Laura C.}",

note = "Funding Information: Heart & Stroke gratefully acknowledges the Management of Spontaneous Intracerebral Hemorrhage writing group leaders and members all of whom have volunteered their time and expertise to the update of these recommendations. Members of the Canadian Stroke Consortium and the Canadian Hemorrhagic Stroke Trials Initiative (CoHESIVE; www.phri.ca/cohesive/) were involved in all aspects of the development of these recommendations. These recommendations underwent external review by Aleksandra Pikula, Rustam Al-Shahi Salman, Steven Greenberg, Lisa Groulx, Carlos S Kase, Jeffrey Perry, Madgy Selim, Samuel Shulman, Judy Sherman, Sean Sopher, Catherine Varner, and Wendy Ziai. We thank the Canadian Stroke Best Practices Advisory Committee members, including Eric Smith, Anita Mountain, Leanne Casaubon, Gord Gubitz, Dar Dowlatshahi, Dylan Blacquiere, Thalia Field, Farrell Leibovitch, Christine Papoushek, Jeffrey Habert, Barbara Campbell, Joyce Fung, Michael Hill, Tim Hillier, Thomas Jeerakathil, Eddy Lang, Pascale Lavoie, Beth Linkewich, Colleen O{\textquoteright}Connell, Melanie Penn, Jai Shankar, Debbie Timpson, Theodore Wein, and Katie White. We acknowledge and thank Norine Foley and the evidence analysis team at workHORSE; Laurie Charest and Andrea de Jong of Heart & Stroke for coordination of the CSBPR teams and processes; engagement of people living with stroke who participate in guideline development; and the Heart & Stroke Communications and Digital internal teams who contributed to the development of these recommendations and publication. The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: The development of the Canadian Stroke Best Practice Recommendations is funded in its entirety by the Heart and Stroke Foundation, Canada. No funds for the development of these guidelines come from commercial interests, including pharmaceutical and device companies. All members of the recommendation writing groups and external reviewers are volunteers and do not receive any remuneration for participation in guideline development, updates and reviews. All participants complete a conflict of interest declaration prior to participation. Publisher Copyright: {\textcopyright} 2020 World Stroke Organization.",

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Canadian stroke best practice recommendations: Management of Spontaneous Intracerebral Hemorrhage, 7th Edition Update 2020

Abstract

Bibliographical note

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PubMed: MeSH publication types

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