Risk Score of Cucchiara et al for Predicting the Risk of Intracerebral Hemorrhage (ICH) in a Patient with Ischemic Stroke

Description

Cucchiara et al reported the score for predicting the risk of intracerebral hemorrhage (ICH) following intravenous tissue plasminogen activator (t-PA) in a patient with ischemic stroke. The authors are from the University of Pennsylvania, Chaim Sheba Medical Center, Mount Sinai Medical Center and the University of Calgary. The authors participated in the Multicenter Recombinant Tissue Plasminogen Stroke Survey Group.

Patient selection: ischemic stroke in the distribution of the middle cerebral artery (MCA) after intravenous t-PA therapy

Outcome: intracerebral hemorrhage. I

Parameters:

(1) age of the patient in years

(2) pretreatment NIHSS score

(3) blood glucose on admission

(4) platelet count

Parameter	Finding	Points
age of the patient	<= 60 years of age	0
	> 60 years of age	1
pretreatment NIHSS score	<= 10	0
	> 10	1
blood glucose on admission	<= 150 mg/dL (8.33 mmol/L)	0
	> 150 mg/dL	1
platelet count	>= 150,000 per µL	0
	< 150,000 per µL	1

total score =

= SUM(points for all 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 4

Score	Symptomatic ICH
0	0%
1	5%
2	4%
3 or 4	18%

Performance:

• The area under the ROC curve was 0.69.

To read more or access our algorithms and calculators, please log in or register.

Risk Score of Cucchiara et al for Predicting the Risk of Intracerebral Hemorrhage (ICH) in a Patient with Ischemic Stroke

Description

Specialty