The Cardiovascular
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Intracerebral haemorrhage (ICH) score

30-day mortality risk after spontaneous intracerebral haemorrhage.

Intracerebral haemorrhage (ICH) score
Glasgow Coma Scale
ICH volume >=30 cm3
Intraventricular haemorrhage
Infratentorial origin
Age >=80 years
Result0 points

Estimated 30-day mortality about 0 %.

30-day mortality
0 %

When to use

  • Standardised severity grading and prognosis after spontaneous intracerebral haemorrhage.

Formula

Points: GCS 13-15=0, 5-12=1, 3-4=2; volume >=30 cm3=1; IVH=1; infratentorial origin=1; age >=80=1. Range 0-6.

Pearls and pitfalls

  • A prognostic aid, not a basis for withdrawing care; early aggressive management can improve outcomes.

References

  1. Hemphill JC, Bonovich DC, Besmertis L, et al. Stroke. 2001;32(4):891-7.