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Trends in Surgical Management and Mortality of Intracerebral Hemorrhage in the United States Before and After the STICH Trial
Authors:Opeolu Adeoye  Andrew Ringer  Richard Hornung  Pooja Khatri  Mario Zuccarello  Dawn Kleindorfer
Affiliation:(1) Departments of Emergency Medicine, UC Neuroscience Institute, University of Cincinnati Medical Center, 231 Albert Sabin Way, ML 0769, Cincinnati, OH 45267-0525, USA;(2) Department of Neurosurgery, University of Cincinnati, Cincinnati, OH, USA;(3) Division of Neurocritical Care, University of Cincinnati, Cincinnati, OH, USA;(4) Cincinnati Children’s Environmental Health Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA;(5) Department of Neurology, University of Cincinnati, Cincinnati, OH, USA
Abstract:

Background  

The Surgical Trial in Intracerebral Hemorrhage (STICH) showed no overall benefit from early surgery compared with initial conservative treatment for intracerebral hemorrhage (ICH). We hypothesized that the STICH trial findings would lead to a reduction in the rates of surgery for ICH in the United States. Using a national hospital database, we determined trends in surgery for ICH before and after publication of STICH. We also determined trends in ICH mortality during the study period.
Keywords:
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