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Korean Clinical Practice Guidelines for Aneurysmal Subarachnoid Hemorrhage
Won-Sang Cho1, Jeong Eun Kim1, Sukh Que Park2
1Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Journal of Korean Neurosurgical Society
|March 12, 2018
Summary
Clinical practice guidelines for aneurysmal subarachnoid hemorrhage (aSAH) were developed in Korea. These guidelines offer evidence-based recommendations for managing this severe cerebrovascular disease, aiming to improve patient outcomes.
Area of Science:
- Neurosurgery
- Neurology
- Cerebrovascular Diseases
Background:
- Aneurysmal subarachnoid hemorrhage (aSAH) remains a significant cause of death and disability despite treatment advances.
- Clinical practice guidelines (CPGs) are crucial for standardizing management and improving outcomes for aSAH.
- International CPGs exist, but localized guidelines are needed to address specific healthcare contexts.
Purpose of the Study:
- To present the Korean version of the CPGs for aSAH, developed by the Korean Society of Cerebrovascular Surgeons.
- To provide evidence-based recommendations for the comprehensive management of aSAH.
- To serve as a reference for clinicians and researchers involved in aSAH care.
Main Methods:
- Systematic review of published literature up to December 2015.
- Inclusion of major international CPGs for aSAH.
- Evidence levels and recommendation grades determined by multidisciplinary committees.
Main Results:
- The Korean CPGs cover risk factors, diagnosis, initial management, rebleeding prevention, delayed cerebral ischemia, hydrocephalus, complications, and rehabilitation.
- Recommendations are based on synthesized evidence and expert consensus.
- The guidelines acknowledge limitations due to incomplete evidence and practice variations.
Conclusions:
- The Korean CPGs for aSAH provide a valuable, evidence-based reference for clinical practice and research.
- These guidelines aim to optimize the management of aSAH patients in the Korean healthcare setting.
- Continuous updates are anticipated as new evidence emerges.
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