ICH Score

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A retrospective analysis of 152 patients identified GCS (P < 0.001, most significant factor), age of at least 80 (P = 0.001), infratentorial origin of ICH (P = 0.03), ICH volume (P = 0.047), and presence of IVH (P = 0.052) as independent factors associated with 30-day mortality after multivariate analysis. While univariate analysis showed serum glucose to be an independent factor associated with 30-day mortality, multivariate analysis subsequently showed that sex, pulse pressure and serum glucose were not statistically significant independent outcome predictors. Additionally, presumed cause of ICH (hypertension, amyloid, illicit drug use, underlying lesion, or "other"), EVD placement and surgical hematoma evacuation were not associated with 30-day mortality in univariate analysis in this study.

THE SCALE:

  1. GCS Score - 2 points if 3-4, 1 point if 5-12
  2. ICH volume - 1 point if at least 30cc
  3. IVH - 1 point if IVH
  4. Infratentorial - 1 point if infratentorial origin
  5. Age - 1 point if at least 80 years old

30 Day Mortalities for Total ICH Scores:

  • 0 = 0%
  • 1 = 13%
  • 2 = 26%
  • 3 = 72%
  • 4 = 97%
  • 5 = 100%
  • 6 - estimated to be 100%, no patients in the study fell under this category

Hemphill J C et al.: The ICH Score. Stroke. 2001; 32:891-897.

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