Other medical complications in ICH patients include acute kidney injury, hyponatremia, gastrointestinal bleeding, impaired nutritional status, urinary tract infections, and post- stroke depression. Acute nephropathy (defined in a study by Oleinik et al181 as a rise in creatinine of at least 25% or 0.5 mg/ dL to a level of at least 1.5 mg/dL) occurred in 41 of 539 ICH patients (8%) admitted to a single institution over a 5-year period and was no more frequent in those who underwent which suggests that kidney injury was a result of overall medical status rather than this particular pro- cedure. Screening and monitoring are keys to detecting these events. Management at this time is focused on prevention and targeting these complications as they arise. Because of lim- ited information regarding ICH-specific issues related to ven- tilator-associated events, acute respiratory distress syndrome management, and acute kidney injury, these should be consid- ered areas for future study. The identification of preventive or treatment strategies for other medical complications will also require further studies focused on ICH patients. Management of Medical Complications: Recommendations A formal screening procedure for dysphagia should be performed in all patients before the initiation of oral intake to reduce the risk of pneumonia (Class I; Level of Evidence B). (New recommendation) Systematic screening for myocardial ischemia or infarction with electrocardiogram and cardiac enzyme testing after ICH is reasonable (Class IIa; Level of Evidence C). 