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% |
Specialty: Neurology
ICD-10: ,