Clinical Research
Best evidence summary for blood pressure management in patients with intracerebral hemorrhage
Li Jia, Feng Ruzhi, Liang Sujuan
Published 2021-10-15
Cite as Chin J Neuromed, 2021, 20(10): 1032-1038. DOI: 10.3760/cma.j.cn115354-20210705-00423
Abstract
ObjectiveTo search and summarize the best evidence for blood pressure management in patients with intracerebral hemorrhage to provide evidence for blood pressure management in these patients.
MethodsPIPOST model was used to establish evidence-based questions; with "intracerebral hemorrhage/cerebral hemorrhage/ICH/HICH/stroke" AND "blood pressure/hypertension" as English search terms, and with "脑出血/颅内出血/脑卒中"+"血压" as Chinese search terms, the official websites of related associations and domestic and foreign databases, such as GUIDE.com, UpToDate, Cochrane Library, CNKI, VIP Chinese journal Service platform, and Wanfang Data Knowledge Service platform, were searched. Two researchers independently evaluated the quality of the literature, including guidelines, systematic reviews, and expert consensus, and extracted the evidence.
ResultsA total of 17 articles were selected; 2 were clinical decision type, 7 were guideline type, 7 were systematic review type, and 1 was expert consensus type. Twenty-six pieces of evidence were summarized into 5 aspects: timing and methods of lowering blood pressure, benefits and risks of lowering blood pressure, drug selection and selection methods, recurrence prevention of stroke, and matters for attention.
ConclusionIt is necessary to pay attention to blood pressure management in patients with intracerebral hemorrhage; in the process of evidence application, it's suggested to make an appropriate blood pressure management plan for the patients according to clinical situation.
Key words:
Intracerebral hemorrhage; Blood pressure management; Evidence summary; Prognosis
Contributor Information
Li Jia
School of Nursing, Southern Medical University, Guangzhou 510515, China
Feng Ruzhi
School of Nursing, Southern Medical University, Guangzhou 510515, China
Liang Sujuan
National Key Clinical Specialty, Engineering Technology Research Center of Education Ministry of China on Diagnosis and Treatment of Cerebrovascular Disease, Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration, Neurosurgery Institute of Guangdong Province, Department of Neurotrauma and Neurocritical Care Medicine, Neurosurgery Center, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China