Skip to main content

Table 2 INTERACT 2 [71] vs ATACH 2 [77] studies

From: The critical care management of spontaneous intracranial hemorrhage: a contemporary review

 

INTERACT 2 (n = 2794)

ATACH 2 (n = 1000)

 

Control

Intervention

Control

Intervention

Number of enrolled patients

1430

1399

500

500

Treatment target (SBP in mmHg)

<180

<140

140–179

110–139

Inclusion criteria

GCS > 5

ICH (volume < 60 cm3), GCS score ≥ 5

Primary outcome

Death or major disability (mRS = 3–6) at 3 months

Death or disability (mRS = 4–6) at 3 months

Recruitment window

6 hours

4.5 hours

Medications used to lower blood pressure

Urapidil: 32.5 %

Nicardipine ± labetalol

Nicardipine or nimodipine: 16.2 %

Intravenous diltiazem or urapidil could be used

Labetalol: 14.4 %

Nitroglycerin: 14.9 %

Furosemide: 12.4 %

Nitroprusside: 12.1 %

Hydralazine: 5.9 %

Period of blood pressure intervention

7 days

24 hours

Time goal of blood pressure lowering

1 hour

2 hours

Mean interval between symptom onset and randomization

3.7 hours

3.7 hours

3.0 hours

3.0 hours

Systolic blood pressure at presentation (mmHg)

179 ± 17

179 ± 17

201.1 ± 26.9

200 ± 27.1

Mean systolic blood pressure achieved (mmHg)

164 within 1 hour

150 within 1 hour

141.1 ± 14.8 (2 hours)

128.9 ± 16 (2 hours)

153 within 6 hours

139 within 6 hours

Primary treatment failurea (%)

66

12.2

Baseline hematoma volume (ml)

11

11

10.2

10.3

Asian (%)

68.0

67.7

57.0

55.4

Death or disability (%)—mRS = 3–6

55.6

52.0

56.1

56.2

Modified Rankin Scale (%)

    

 0

7.6

8.1

7.1

5.0

 1

18.0

21.1

19.6

19.8

 2

18.8

18.7

17.3

19.1

 3

16.6

15.9

18.3

17.5

 4

19.0

18.1

26.5

26.0

 5

8.0

6.0

4.2

5.8

 6

12.0

12.0

7.1

6.9

  1. aPrimary treatment failure was defined as target SBP < 140 mmHg not achieved within 1 hour of randomization in the intensive-treatment group in the INTERACT 2 trial or within 2 hours in the ATACH 2 trial
  2. GCS Glasgow Coma Scale, ICH intracerebral hemorrhage, mRS modified Rankin Scale, SBP systolic blood pressure