title: Functional outcome prediction following intracerebral hemorrhage.
abstract: The ICH score is a validated method of assessing the risk of mortality and morbidity after intracerebral hemorrhage (ICH). We sought to compare the ability of the ICH score to predict outcome assessed with three of the most widely used scales: the Barthel Index (BI), modified Rankin Scale (mRS), and Glasgow Outcome Score (GOS). All patients with ICH treated at our institution between February 2009 and March 2011 were followed-up at three months using the mRS, GOS, and BI. The ICH score was highly correlated with the three-month mRS (ρ=0.59, p<0.001), BI (ρ=-0.57, p<0.001) and GOS (ρ=0.61, p<0.001). The ICH score also predicted dependency for each measure well, with areas under the curve falling between 0.826 and 0.833. Our results suggest that future clinical studies that use the ICH score to stratify patients may employ any of the three outcome scales and expect good discrimination of disability.
authors.affiliation: Cerebrovascular Laboratory, The Neurological Institute, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA. Gappelbo@gmail.com
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Appelboom
authors.forename: Samuel S
authors.initials: SS
authors.lastname: Bruce
authors.forename: James
authors.initials: J
authors.lastname: Han
authors.forename: Matthew
authors.initials: M
authors.lastname: Piazza
authors.forename: Brian
authors.initials: B
authors.lastname: Hwang
authors.forename: Zachary L
authors.initials: ZL
authors.lastname: Hickman
authors.forename: Brad E
authors.initials: BE
authors.lastname: Zacharia
authors.forename: Amanda
authors.initials: A
authors.lastname: Carpenter
authors.forename: Aimee S
authors.initials: AS
authors.lastname: Monahan
authors.forename: Kerry
authors.initials: K
authors.lastname: Vaughan
authors.forename: Neeraj
authors.initials: N
authors.lastname: Badjatia
authors.forename: E Sander
authors.initials: ES
authors.lastname: Connolly
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000503:physiopathology*; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011237:Predictive Value of Tests; D012372:ROC Curve; D012189:Retrospective Studies; D012720:Severity of Illness Index