Hemphill et al developed the ICH Score for strokes complicated by intracerebral hemorrhage. The score correlates with 30-day mortality. The authors are from the University of California at San Francisco.
Parameters:
(1) Glasgow coma score (GCS)
(2) age of the patient
(3) origin of the hemorrhage
(4) volume of hemorrhage on imaging studies
(5) intraventricular hemorrhage
|
Parameter |
Finding |
Points |
|
Glasgow coma score |
13 - 15 |
0 |
|
|
5 - 12 |
1 |
|
|
3 or 4 |
2 |
|
age of the patient |
< 80 years of age |
0 |
|
|
>= 80 years of age |
1 |
|
origin of hemorrhage |
infratentorial |
0 |
|
|
supratentorial |
1 |
|
volume of hemorrhage |
< 30 mL |
0 |
|
|
>= 30 mL |
1 |
|
intraventricular hemorrhage |
absent |
0 |
|
|
present |
1 |
ICH score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6
• The higher the score, the worse the 30 day mortality.
• The maximum score seen in the original study was 5, since it is difficult to have an infratentorial hemorrhage with a volume >= 30 mL.
|
ICH Score |
30 Day Mortality Rate |
|
0 |
0% |
|
1 |
13% |
|
2 |
26% |
|
3 |
72% |
|
4 |
97% |
|
5 or 6 |
100% |
Specialty: Neurology
ICD-10: ,
