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Intracerebral Hemorrhage Therapeutics pp 139–159Cite as

Special Systems of Care Considerations in Intracerebral Haemorrhage

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Abstract

Stroke systems of care apply to all stroke types, haemorrhagic and ischemic. This chapter discusses some core features and operating principles along the continuum of stroke care that can frame the organization of systems of care for ICH: (a) prevention and public awareness, (b) hyper-acute and acute management, and (c) rehabilitation and community reintegration. To have a stroke system of care means that care is coordinated and optimized along the entire stroke care continuum, from primary prevention to rehabilitation. These include the designation of comprehensive stroke centres, development of regional strategies to guarantee appropriate interventions like emergency medical services routing policies, pre- and in-hospital care protocols, stroke unit care, as well as inter-provider collaboration, the use of telemedicine to aid patient care in remote facilities, access to post-stroke rehabilitation, and the integration of quality improvement programs. Stroke systems of care therefore have a central role in education, infrastructure and protocol development, institutional accreditation, and continuous quality improvement across the continuum of stroke care. An integrated approach to stroke care, with carefully designed policies that address the complex challenges and care needs along each step of the continuum, can help ensure that patients with ICH have the best chance at disability-free survival.

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Authors and Affiliations

  1. Calgary Stroke Program, Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Canada

    Aravind Ganesh & Michael D. Hill

  2. Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK

    Aravind Ganesh

  3. Department of Radiology, Department of Community Health Sciences, Department of Medicine, and Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada

    Michael D. Hill

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  1. Aravind Ganesh
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Editors and Affiliations

  1. University of California, San Francisco Medical Center, San Francisco, CA, USA

    Bruce Ovbiagele

  2. University of Minnesota, Minneapolis, MN, USA

    Adnan I. Qureshi

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Ganesh, A., Hill, M.D. (2018). Special Systems of Care Considerations in Intracerebral Haemorrhage. In: Ovbiagele, B., Qureshi, A. (eds) Intracerebral Hemorrhage Therapeutics. Springer, Cham. https://doi.org/10.1007/978-3-319-77063-5_10

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