Traumatic Intracerebral Hemorrhage

STITCH(trauma): Early Surgery versus Initial Conservative Treatment in Patients 

with Traumatic Intracerebral Hemorrhage

The Bottom Line - Feb 12, 2016

Mendelow. Journal of Neurotrauma 2015;32(17):1312-1323. doi:10.1089/neu.2014.3644

"Clinical Question

• In patients with traumatic intracerebral haemorrhage (TICH), does early surgery (haematoma evacuation within 12 h of randomisation) compared with initial conservative management reduce major disability and death at 6 months after injury?

The Bottom Line

• Early surgery in TICH cannot be recommended solely on this evidence of a mortality benefit, a larger trial with a patient population generalisable to the UK is needed to explore if early surgery improves functional outcome in TICH"

External Links

• Early Surgery versus Initial Conservative Treatment in Patients with Traumatic Intracerebral Hemorrhage (STITCH[Trauma]): The First Randomized Trial
• Traumatic Intracerebral Haemorrhage and Recruitment.
• JC: A Stitch in Time
• LITFL Research and Reviews in the Fastlane 089