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Despite decades of research, options are limited for intracerebral hemorrhage (ICH) treatments that are proven to improve outcomes. The role of craniotomy and hematoma evacuation are controversial. Data on outcomes when ICH is treated with full support in an intensive care unit and with selective surgery are useful for clinicians. These investigators conducted a retrospective review of patients with spontaneous ICH admitted to a single neurological intensive care unit (ICU) in Canada during a 7-year period. The primary outcome was all-cause mortality at 30 days. Secondary outcomes were 90-day mortality and functional status using the modified Rankin scale (mRS).
After excluding patients with secondary causes and those with early care limitat…