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Updated guidelines rethink care for people with hemorrhagic stroke

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According to the latest guidelines for intracerebral hemorrhage (also known as hemorrhagic stroke), many are widely considered standard care for people suffering from this less common but dangerous type of stroke. No skill required.

The revised guidelines of the American Heart Association / American Stroke Association, published in the journal Stroke on Tuesday, include recommendations covering all aspects of care, from surgery to compression socks. The last revised guidelines in 2015 also focus on supporting and training home caregivers.

“We believe that the broad knowledge presented in the new guidelines will lead to significant improvements,” said Dr. Stephen M. Greenberg, chair of the group that wrote the update.


Intracerebral hemorrhage accounts for about 10% of the approximately 800,000 strokes that occur each year in the United States. It is one of the most deadly types of stroke, with a mortality rate of 30% to 40%.

Greenberg, a professor of neurology at Harvard Medical School, said: Vice-Chairman of the Department of Neurology, Massachusetts General Hospital in Boston.

Primary intracerebral hemorrhage is different from cerebral hemorrhage caused by external factors such as trauma. Typical causes include uncontrolled high blood pressure and age-related degeneration of cerebrovascular disease. This condition affects blacks and Hispanics at a disproportionately high rate.

Such strokes are expected to continue to be a serious health concern as the population ages, as the likelihood increases rapidly with age.

The new guidelines cite studies that show that:

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