title: The prediction of 30-day mortality and functional outcome in spontaneous intracerebral hemorrhage with secondary ventricular hemorrhage: a score comparison.
abstract: The original ICH (oICH) score was tested in different populations and showed good accuracy in the prediction of outcome and 30-day mortality after spontaneous ICH. The oICH was developed to stratify patients with all types of spontaneous intracerebral hemorrhage (SICH). Several modifications of the oICH score exist in the literature.In the current study, we tested the oICH score, two modified ICH scores, and the IVH score on a cohort of 171 patients with SICH and mandatory secondary intraventricular hemorrhage (IVH). Receiver-operating characteristic (ROC) curves were plotted, and the areas under the curves (AUC) were calculated for each score.The calculated AUCs for the prediction of 30-day mortality in the cohort were 0.736, 0.816, 0.805, and 0.836 for the original ICH, the mICH-A, the mICH-B, and the new IVH score, respectively. The best AUC for functional outcome was observed for the mICH-B score (0.823). For the mICH-A and the IVH score, an AUC of 0.811 was calculated.The scores that include the quantification of IVH or the grading of hydrocephalus show good accuracy in the prediction of 30-day mortality and functional outcome at 6 months in SICH with secondary IVH.
authors.affiliation: Department of Neurosurgery, University Hospital Giessen-Marburg, Klinikstrasse 29, Giessen, Germany. dr.stein@email.de
authors.forename: Marco
authors.initials: M
authors.lastname: Stein
authors.forename: Marcus
authors.initials: M
authors.lastname: Luecke
authors.forename: Matthias
authors.initials: M
authors.lastname: Preuss
authors.forename: Wolfram
authors.initials: W
authors.lastname: Scharbrodt
authors.forename: Aeasndr
authors.initials: A
authors.lastname: Joedicke
authors.forename: Matthias F
authors.initials: MF
authors.lastname: Oertel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019540:Area Under Curve; D002543:Cerebral Hemorrhage / Q000401:mortality* / Q000503:physiopathology*; D002552:Cerebral Ventricles / Q000503:physiopathology*; D015331:Cohort Studies; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011237:Predictive Value of Tests; D012372:ROC Curve; D012189:Retrospective Studies; D016896:Treatment Outcome