Ariesen et al developed a risk score for predicting intracerebral hemorrhage in a patient with a history of transient ischemic attack (TIA) or a minor ischemic stroke. This can help identify a patient who may benefit from more aggressive management. The authors are members of the Cerebrovascular Cohort Studies Collaboration (CCSC).
Parameters:
(1) age of the patient in years
(2) blood glucose concentration
(3) systolic blood pressure in mm Hg
(4) therapy with antihypertensive medication
Parameter
Finding
Points
age in years
< 60 years
0
>= 60 years
6
blood glucose concentration
< 7 mmol/L
0
>= 7 mmol/L
-10
systolic blood pressure
< 140 mm Hg
0
>= 140 mm Hg
7
antihypertensive therapy
yes
4
no
0
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: -10
• maximum score: 17
• The higher the score the greater the risk of intracerebral hemorrhage.
Total Score
5 Year Risk of Intracerebral Hemorrhage
-10 to 5
0.4%
6 to 10
0.6%
11 to 13
1.3%
14 to 17
2%
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