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Intracerebral haemorrhage management practices and adherence to the INTERACT3 care bundle in Latin America: Results from an international survey

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dc.contributor.authorRosales, Julieta
dc.contributor.authorCarbonera, Leonardo
dc.contributor.authorDe Souza, Ana
dc.contributor.authorRocha, Eva
dc.contributor.authorCano, Vanessa
dc.contributor.authorOrjuela, Karen
dc.contributor.authorGuerrero, Rodrigo
dc.contributor.authorDelfino, Carlos
dc.contributor.authorNuñez, Marilaura
dc.contributor.authorMunoz Venturelli, Paula
dc.contributor.authorGonzalez, Alejandro
dc.date.accessioned2026-08-31T18:13:33Z
dc.date.available2026-08-31T18:13:33Z
dc.date.issued2025
dc.description.abstractObjective: To assess intracerebral hemorrhage (ICH) management practices and adherence to the INTERACT3 care bundle across Latin American countries. Methods: We conducted a multi-national survey among neurologists, neurosurgeons, intensive care specialists, and emergency physicians. From August to December 2024, the survey was distributed across 19 Latin American countries. It assessed hospital characteristics, availability of an ICH code, adherence to INTERACT3 measures, and resource availability. Stroke leaders from the surveyed countries were involved in developing and disseminating the survey. Results: Out of 580 respondents (mean age 40.25 years; 61.6% male), most worked in teaching (86%) and public hospitals (53.6%). Only 27.9% reported an ICH code at their institution. Adherence to INTERACT3 measures ranged from 57.2% (anticoagulation reversal) to 84.7% (blood pressure control), with just 44.5% reporting adherence to all four measures. Time-to-target was not measured by 65%, and only 53.9% maintained interventions for one week. Neuroimaging, neurosurgery, and hematology services were higher in private compared to public and mixed hospitals (p<0.001). ICH code availability was associated with private hospitals and emergency care specialists, while full adherence was more likely among intensive care specialists. Conclusions: ICH management in Latin America is evolving, with increasing adoption of evidence-based practices. However, variability in adherence underscores the need for regional initiatives to standardize ICH care and ensure equitable implementation of best practices.
dc.description.versionVersión Publicada
dc.identifier.citationRosales J, Carbonera LA, De Souza AC, Rocha E, Cano-Nigenda V, Orjuela KD, Guerrero R, Delfino C, Nuñez M, Venturelli PM, Gonzalez-Aquines A. Intracerebral haemorrhage management practices and adherence to the INTERACT3 care bundle in Latin America: Results from an international survey. J Stroke Cerebrovasc Dis. 2025 Oct;34(10):108419. doi: 10.1016/j.jstrokecerebrovasdis.2025.108419
dc.identifier.doihttps://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108419
dc.identifier.urihttps://hdl.handle.net/11447/11049
dc.language.isoen
dc.subjectAdherence
dc.subjectHyperacute management
dc.subjectINTERACT3
dc.subjectIntracerebral hemorrhage
dc.subjectLatin America
dc.subjectStroke care
dc.titleIntracerebral haemorrhage management practices and adherence to the INTERACT3 care bundle in Latin America: Results from an international survey
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
dspace.entity.typePublication
relation.isAuthorOfPublication77bec604-0a16-4d85-aaee-734c326e253a
relation.isAuthorOfPublication.latestForDiscovery77bec604-0a16-4d85-aaee-734c326e253a

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