-- Mary Elizabeth Dallas
THURSDAY, May 3 (HealthDay News) -- People diagnosed in the
emergency room with a specific type of bleeding stroke should
immediately be transferred to a hospital that treats at least 35 of
these cases each year, according to new recommendations from the
American Heart Association and the American Stroke Association.
Aneurysmal subarachnoid hemorrhage occurs when a weakened blood
vessel within the brain ruptures, resulting in bleeding into the
space around the brain.
Death rates within a month after this type of stroke were 39
percent in hospitals admitting fewer than 10 such patients each
year, compared with 27 percent in hospitals treating more than 35
of these patients, according to an association news release.
"Admission to high-volume centers has been associated with lower disability and death," said Dr. E. Sander Connolly Jr., chairman of the statement-writing group, said in the release. "While the reasons for this association are not completely clear, patients admitted to high-volume facilities have increased access to experienced cerebrovascular surgeons and endovascular specialists, as well as multidisciplinary neuro intensive-care services."
Although prevention recommendations still focus on controlling
high blood pressure, avoiding cigarettes and excessive drinking,
the association provided additional treatment recommendations,
updating guidelines from 2009.
Among the recommendations:
The guidelines also cautioned people to take immediate action if
certain symptoms appear, including:
"Most people do not recognize when [a brain bleed] is occurring, and anyone who experiences the 'worst headache of your life,' should get to the closest ER immediately," warned Connolly, who is the vice chairman of neurological surgery at Columbia University in New York City and co-director of the neurosciences intensive-care unit at New York-Presbyterian Hospital.
The updated guidelines appear online Thursday in the journal
The U.S. National Institutes of Health provides more information
aneurysm in the brain.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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