Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Manchester, UK.
Department of Medical Sciences, Uppsala University, Emergency Department, Uppsala University Hospital, Uppsala, Sweden.
Eur Stroke J. 2024 Jun;9(2):295-302. doi: 10.1177/23969873231220235. Epub 2023 Dec 27.
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.
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.
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.
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.
脑出血（ICH）是中风最具破坏性的形式，也是残疾的主要原因。针对个别疗法的临床试验未能明确确定具体的有益治疗方法。然而，引入护理包的临床试验，即同时提供多种疗法，似乎明显降低了发病率和死亡率。目前，在急性期接受这些干预措施的患者还不够多。
我们召集了一个专家组，讨论脑出血的最佳实践，并制定可在所有治疗急性脑出血的环境中实施的捆绑式护理建议，重点是欧洲的医疗保健系统。
在这份共识文件中，我们主张在脑出血中广泛实施规范化护理包，包括治疗时间的具体指标和神经外科治疗的考虑标准。
在这种毁灭性疾病中，有一个极好的机会可以改善临床护理和临床结果。已经有大量证据表明，一系列的治疗方法是可行的，现在应该实施。
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