Determining ICH Score: can we go beyond?
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.
Patriota
Gustavo Cartaxo
GC
Departments of Neurosurgery, Hospital Servidor Público Estadual de São Paulo, São Paulo, SP, Brazil. patriota@gmail.com
Silva-Júnior
João Manoel da
JM
Barcellos
Alécio Cristino Evangelista Santos
AC
Silva Júnior
Joaquim Barbosa de Sousa
JB
Toledo
Diogo Oliveira
DO
Pinto
Fernando Campos Gomes
FC
Rotta
José Marcus
JM
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