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While lacking evidence based recommendations, most institutions must evaluate spontaneous intracerebral hemorrhages (sICH) for hematoma expansion (HE). If unrecognized, it can be a devastating complication. However, because of the lack of general recommendations for serial imaging, many hospitals, including Thomas Jefferson, have arbitrarily instituted 6 hour an 24 hour stability head CT’s to evaluate for HE.
In our project, we examine the impact of this imaging protocol on the safety and quality of patient care and provide revised recommendations for imaging in sICH at Thomas Jefferson University Hospital and Jefferson Hospital for Neuroscience.
quality improvement, neuroimaging, spontaneous intracerebral hemorrhage, hematoma expansion
Medicine and Health Sciences | Neurology | Radiology
Hines, MD, Kevin; Mouchtouris, MD, Nikolaos; Hafazalla, Karim; Mazza, Jacob M.; Phan, Phillip; Labella, Giuliana; Athar, MD, Muhammad; Flanders, MD, Adam; and Jabbour, MD, Pascal, "Neuroimaging Protocol in Patients Presenting with Spontaneous Intracerebral Hemorrhage" (2019). House Staff Quality Improvement and Patient Safety Conference (2016-2019). Poster 116.