{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T05:38:19Z","timestamp":1792733899900,"version":"4.5.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100000272","name":"DH | National Institute for Health Research","doi-asserted-by":"publisher","award":["ACF-2024-18-002"],"award-info":[{"award-number":["ACF-2024-18-002"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Hum Hypertens"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In a retrospective audit of 89 adults with spontaneous intracerebral haemorrhage (ICH) at a tertiary neuroscience centre, fewer than 60% met the National Institute for Health and Care Excellence (NICE) blood pressure (BP) target in the year before their haemorrhage, despite most carrying a known diagnosis of hypertension. Blood pressure control and antihypertensive prescribing improved after ICH, yet most survivors remained above the European Stroke Organisation (ESO) secondary-prevention target, and the first documented community BP check occurred a median of 62 days after discharge. These findings expose primary- and secondary-prevention gaps spanning the whole care pathway and lend support to a structured, protocolised uptitration pathway after discharge, combining remote BP monitoring with pharmacist- or nurse-led dose escalation.<\/jats:p>","DOI":"10.1038\/s41371-026-01243-5","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T04:51:02Z","timestamp":1792731062000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Blood pressure control before and after spontaneous intracerebral haemorrhage: a stroke service audit and strategies for improvement"],"prefix":"10.1038","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8566-2625","authenticated-orcid":false,"given":"Claudia","family":"Zeicu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Werring","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"George","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"key":"1243_CR1","doi-asserted-by":"publisher","first-page":"101180","DOI":"10.1016\/j.lanepe.2024.101180","volume":"49","author":"A Wolsink","year":"2025","unstructured":"Wolsink A, Citeur MP, van Asch CJ, Boogaarts H, Dammers R, Hannink G, et al. Incidence, case fatality, and functional outcome of intracerebral haemorrhage, according to age, sex, and country income level: a systematic review and meta-analysis. Lancet Reg Health Eur. 2025;49:101180.","journal-title":"Lancet Reg Health Eur"},{"key":"1243_CR2","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1016\/S0140-6736(01)06178-5","volume":"358","author":"PROGRESS Collaborative Group","year":"2001","unstructured":"PROGRESS Collaborative Group. Randomised trial of a perindopril-based blood-pressure-lowering regimen among 6105 individuals with previous stroke or transient ischaemic attack. Lancet. 2001;358:1033\u201341.","journal-title":"Lancet"},{"key":"1243_CR3","doi-asserted-by":"publisher","first-page":"904","DOI":"10.1001\/jama.2015.10082","volume":"314","author":"A Biffi","year":"2015","unstructured":"Biffi A, Anderson CD, Battey TWK, Ayres AM, Greenberg SM, Vinswanathan A, et al. Association between blood pressure control and risk of recurrent intracerebral hemorrhage. JAMA. 2015;314:904\u201312.","journal-title":"JAMA"},{"key":"1243_CR4","doi-asserted-by":"publisher","first-page":"2142","DOI":"10.1161\/STROKEAHA.121.036885","volume":"53","author":"MT Mullen","year":"2022","unstructured":"Mullen MT, Anderson CS. Review of long-term blood pressure control after intracerebral hemorrhage: challenges and opportunities. Stroke. 2022;53:2142\u201351.","journal-title":"Stroke"},{"key":"1243_CR5","unstructured":"NICE, NG136 Hypertension in adults: diagnosis and management. 2019. https:\/\/www.nice.org.uk\/guidance\/ng136"},{"key":"1243_CR6","doi-asserted-by":"publisher","first-page":"II","DOI":"10.1177\/23969873211026998","volume":"6","author":"EC Sandset","year":"2021","unstructured":"Sandset EC, Anderson CS, Bath PM, Christensen H, Fischer U, Gasecki D, et al. European Stroke Organisation (ESO) guidelines on blood pressure management in acute ischaemic stroke and intracerebral haemorrhage. Eur Stroke J. 2021;6:II.","journal-title":"Eur Stroke J"},{"key":"1243_CR7","doi-asserted-by":"publisher","first-page":"3912","DOI":"10.1093\/eurheartj\/ehae178","volume":"45","author":"JW McEvoy","year":"2024","unstructured":"McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C, et al. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. Eur Heart J. 2024;45:3912\u20134018.","journal-title":"Eur Heart J"},{"key":"1243_CR8","doi-asserted-by":"publisher","first-page":"895","DOI":"10.1016\/S0140-6736(10)60308-X","volume":"375","author":"PM Rothwell","year":"2010","unstructured":"Rothwell PM, Howard SC, Dolan E, Dobson JE, Dahlof B, Sever PS, et al. Prognostic significance of visit-to-visit variability, maximum systolic blood pressure, and episodic hypertension. Lancet. 2010;375:895\u2013905.","journal-title":"Lancet"},{"key":"1243_CR9","doi-asserted-by":"publisher","first-page":"e2426135","DOI":"10.1001\/jamanetworkopen.2024.26135","volume":"7","author":"Y Lu","year":"2024","unstructured":"Lu Y, Arowojolu O, Qiu X, Liu Y, Curry LA, Krumholz HM. Barriers to optimal clinician guideline adherence in management of markedly elevated blood pressure: a qualitative study. JAMA Netw Open. 2024;7:e2426135.","journal-title":"JAMA Netw Open"},{"key":"1243_CR10","doi-asserted-by":"publisher","first-page":"1571","DOI":"10.1056\/NEJMoa2515043","volume":"394","author":"CS Anderson","year":"2026","unstructured":"TRIDENT Investigators, Anderson CS, Chow CK, de Silva HA, Senanayake B, Wahab K, et al. Three low-dose antihypertensive agents in a single pill after intracerebral hemorrhage. N Engl J Med. 2026;394:1571\u201382.","journal-title":"N Engl J Med"},{"key":"1243_CR11","unstructured":"Department of Health and Social Care and NHS England, Cardiovascular disease (CVD) modern service framework: a cardiovascular-kidney-metabolic approach \u2014 the strategic vision and delivery model. 2026: https:\/\/www.gov.uk\/government\/publications\/cardiovascular-disease-modern-service-framework."},{"key":"1243_CR12","doi-asserted-by":"publisher","first-page":"e49592","DOI":"10.2196\/49592","volume":"8","author":"KC Tran","year":"2024","unstructured":"Tran KC, Mak M, Kuyper LM, Bittman J, Mangat B, Lindsay H, et al. Home blood pressure telemonitoring technology for patients with asymptomatic elevated blood pressure discharged from the emergency department: pilot study. JMIR Form Res. 2024;8:e49592.","journal-title":"JMIR Form Res"}],"container-title":["Journal of Human Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41371-026-01243-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41371-026-01243-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41371-026-01243-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T04:51:15Z","timestamp":1792731075000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41371-026-01243-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,23]]},"references-count":12,"alternative-id":["1243"],"URL":"https:\/\/doi.org\/10.1038\/s41371-026-01243-5","relation":{},"ISSN":["1476-5527"],"issn-type":[{"value":"1476-5527","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,23]]},"assertion":[{"value":"25 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 September 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Ethics"}},{"value":"This work was conducted as a registered clinical audit\/service evaluation at the National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust (registration number 32-202627-CA). As a service evaluation using routinely collected clinical data, it did not require Health Research Authority research ethics committee approval.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Ethics"}}]}}