From: Hematoma expansion in intracerebral hemorrhage – the right target?
Approaches for improvement of future trials |
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- Improving selection criteria: o Limitation of max. eligible time from symptom onset to randomization/intervention (< 4.5 h) o Limitation of max. eligible ICH-volume on initial imaging (< 60ml) o Stratify for antithrombotic medication o Stratification of ICH locations o Radiological predictors (non-contrast and contrast medium imaging markers o Development of AI-based risk prediction models |
- Standardizing the definition of HE (stratified according to ICH location) |
- Endpoint selection: o Functional outcome assessment at ≥6 months o Shift analysis models for HE and outcome instead of dichotomization o Patient-oriented continuous outcome variable (e.g. QALYs) o Composite endpoints of radiological and clinical endpoints |