Guidelines for the management of aSAH (hospital characteristics and systems of care)

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Sara Mehrsefat, M.D. [2]

2012 AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage

Hospital Characteristics and Systems of Care: Recommendations

Class I

"1. Low-volume hospitals (eg, <10 aSAH cases per year) should consider early transfer of patients with aSAH to high-volume centers (eg, >35 aSAH cases per year) with experienced cerebrovascular surgeons, endovascular specialists, and multidisciplinary neurointensive care services (Level of Evidence: B)"

Class IIa

"1. Annual monitoring of complication rates for surgical and interventional procedures is reasonable (Level of Evidence: C)"

"2. A hospital credentialing process to ensure that proper training standards have been met by individual physicians treating brain aneurysms is reasonable (Level of Evidence: C)"