title: Determining ICH Score: can we go beyond?
abstract: Spontaneous intracerebral hemorrhage (SICH) still presents a great heterogeneity in its clinical evaluation, demonstrating differences in the enrollment criteria used for the study of intracerebral hemorrhage (ICH) treatment. The aim of the current study was to assess the ICH Score, a simple and reliable scale, determining the 30-day mortality and the one-year functional outcome. Consecutive patients admitted with acute SICH were prospectively included in the study. ICH Scores ranged from 0 to 4, and each increase in the ICH Score was associated with an increase in the 30-day mortality and with a progressive decrease in good functional outcome rates. However, the occurrence of a pyramidal pathway injury was better related to worse functional outcome than the ICH Score. The ICH Score is a good predictor of 30-day mortality and functional outcome, confirming its validity in a different socioeconomic populations. The association of the pyramidal pathway injury as an auxiliary variable provides more accurate information about the prognostic evolution.
authors.affiliation: Departments of Neurosurgery, Hospital Servidor Público Estadual de São Paulo, São Paulo, SP, Brazil. patriota@gmail.com
authors.forename: Gustavo Cartaxo
authors.initials: GC
authors.lastname: Patriota
authors.forename: João Manoel da
authors.initials: JM
authors.lastname: Silva-Júnior
authors.forename: Alécio Cristino Evangelista Santos
authors.initials: AC
authors.lastname: Barcellos
authors.forename: Joaquim Barbosa de Sousa
authors.initials: JB
authors.lastname: Silva Júnior
authors.forename: Diogo Oliveira
authors.initials: DO
authors.lastname: Toledo
authors.forename: Fernando Campos Gomes
authors.initials: FC
authors.lastname: Pinto
authors.forename: José Marcus
authors.initials: JM
authors.lastname: Rotta
mesh_terms: D000368:Aged; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000401:mortality*; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D011379:Prognosis; D011446:Prospective Studies; D020127:Recovery of Function; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed