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Abstract
Intracerebral haemorrhage is an important public health problem leading to high rates
of death and disability in adults. Although the number of hospital admissions for
intracerebral haemorrhage has increased worldwide in the past 10 years, mortality
has not fallen. Results of clinical trials and observational studies suggest that
coordinated primary and specialty care is associated with lower mortality than is
typical community practice. Development of treatment goals for critical care, and
new sequences of care and specialty practice can improve outcome after intracerebral
haemorrhage. Specific treatment approaches include early diagnosis and haemostasis,
aggressive management of blood pressure, open surgical and minimally invasive surgical
techniques to remove clot, techniques to remove intraventricular blood, and management
of intracranial pressure. These approaches improve clinical management of patients
with intracerebral haemorrhage and promise to reduce mortality and increase functional
survival.