Abstract TP229: An Intervention to Improve Blood Pressure Lowering Times in Patients Presenting with Intracerebral Hemorrhage

Introduction: Intracerebral hemorrhage (ICH) carries high morbidity and mortality, and early blood pressure (BP) reduction can limit hematoma expansion and improve outcomes. In 2022, the American Heart Association (AHA)/ American Stroke Association (ASA) released updated guidelines for acute BP management in ICH patients, emphasizing lowering BP within one hour of presentation to prespecified target blood pressures and avoiding hypotension. Despite these guidelines, our institution lacked a standardized ED approach. We evaluated the impact of a health system–wide electronic order set designed to standardize SBP management in ICH. Methods: The electronic health record (EHR) order set was developed for ED use to offer physician decisional support for selection of antihypertensives and SBP targets. Prior to order set implementation, our health system targeted SBP 220, target SBP was 180-200, and for patients with SBP