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Intracerebral Hemorrhage Score and Volume as an Independent Predictor of Mortality in Primary Intracerebral

Hiten N Panchal1, Mukesh S Shah1, Dharita S Shah1

  • 1V.S. Hospital, Ellis Bridge, Ahmedabad, Gujarat India.

The Indian Journal of Surgery
|January 6, 2016
PubMed

Insights

The intracerebral hemorrhage (ICH) score effectively predicts patient mortality. Higher ICH scores and larger hematoma volumes correlate with increased mortality risk in ICH patients.

Area of Science:

  • Neurology
  • Neurosurgery
  • Critical Care Medicine

Background:

  • Intracerebral hemorrhage (ICH) is a critical neurological condition with significant mortality.
  • Accurate prediction of mortality is essential for patient management and resource allocation.

Purpose of the Study:

  • To evaluate the predictive accuracy of the original intracerebral hemorrhage (ICH) score for mortality.
  • To assess the correlation between hematoma volume and mortality in ICH patients.

Main Methods:

  • Analysis of patient data to determine mortality rates based on the original ICH score.
  • Correlation of hematoma volume (<30 mL vs. >30 mL) with patient survival outcomes.

Main Results:

  • Patients with an ICH score of 0 had a 0% mortality rate.
  • Mortality rates increased with higher ICH scores: 10% (score 1), 53% (score 2), 71% (score 3), and 100% (score 4).
  • Hematoma volume significantly impacted survival: 56% survival for <30 mL vs. 10% survival for >30 mL.

Conclusions:

  • The ICH score is a valuable tool for risk stratification in patients presenting with ICH.
  • Hematoma volume is a critical factor in predicting mortality following intracerebral hemorrhage.
  • Standardized use of the ICH score can potentially improve clinical treatment protocols for ICH.

Keywords:
Computed tomography (CT)Glasgow coma scale (GCS)Intracerebral hemorrhage (ICH)

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