Decreased disability with early intensive care bundle for patients presenting with acute hemorrhagic stroke

Clinical Question

Can a care bundle that targets the management of blood pressure, hyperglycemia, fever, and the reversal of anticoagulation improve outcomes in patients presenting with acute hemorrhagic stroke?

Bottom line

For patients presenting with acute hemorrhagic stroke, a care bundle consisting of intensive blood pressure lowering and rapid management of other physiologic variables resulted in decreased disability at 6 months. This intervention was implemented in multiple hospitals in resource-poor countries, suggesting that it has the potential to be implemented across widely variable settings and populations. 1b

Study design: Randomized controlled trial (nonblinded)

Funding: Industry + govt

Setting: Inpatient (any location) with outpatient follow-up

Reviewer

Nita Shrikant Kulkarni, MD
Assistant Professor in Hospital Medicine
Northwestern University
Chicago, IL


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Comments

ARUP KUMAR DHARA

Impact assessment

Excellent

Anonymous

EARLY INTERVENTION AND HEMORRHAGIC STROKE

GOOD TO KNOW