BACKGROUND AND PURPOSE: This study aimed to independently derive an intracerebral hemorrhage grading scale (ICH-GS) for prediction of 3 outcome measures. METHODS: We evaluated 378 patients with primary ICH at hospital arrival and during the next 30 days. Independent predictors were identified by multivariate models of in-hospital and 30-day mortality. Points were allotted to each predictor based on its prognostic performance. ICH-GS was also evaluated to predict good 30-day functional status and ICH-GS was compared with the ICH score as the reference scoring system. RESULTS: Independent predictors were age, Glasgow Coma Scale, ICH location, ICH volume, and intraventricular extension, all components of the ICH score. Nevertheless, different cutoffs and scoring improved substantially the prognostic power of the predictors. Compared with the ICH score, ICH-GS explained more variance in the 3 outcome measures, had higher sensitivity in predicting in-hospital and 30-day mortality, and performed equally well in predicting good functional outcome at 30 days follow up. CONCLUSIONS: The derived ICH-GS is a simple yet robust scale in predicting in-hospital and 30-day mortality, as well as good 30-day functional status, with equivalent performance.
BACKGROUND AND PURPOSE: This study aimed to independently derive an intracerebral hemorrhage grading scale (ICH-GS) for prediction of 3 outcome measures. METHODS: We evaluated 378 patients with primary ICH at hospital arrival and during the next 30 days. Independent predictors were identified by multivariate models of in-hospital and 30-day mortality. Points were allotted to each predictor based on its prognostic performance. ICH-GS was also evaluated to predict good 30-day functional status and ICH-GS was compared with the ICH score as the reference scoring system. RESULTS: Independent predictors were age, Glasgow Coma Scale, ICH location, ICH volume, and intraventricular extension, all components of the ICH score. Nevertheless, different cutoffs and scoring improved substantially the prognostic power of the predictors. Compared with the ICH score, ICH-GS explained more variance in the 3 outcome measures, had higher sensitivity in predicting in-hospital and 30-day mortality, and performed equally well in predicting good functional outcome at 30 days follow up. CONCLUSIONS: The derived ICH-GS is a simple yet robust scale in predicting in-hospital and 30-day mortality, as well as good 30-day functional status, with equivalent performance.
Authors: Viren D Patel; Roxanna M Garcia; Dionne E Swor; Eric M Liotta; Matthew B Maas; Andrew Naidech Journal: J Stroke Cerebrovasc Dis Date: 2020-05-15 Impact factor: 2.136
Authors: Tiago Gregório; Sara Pipa; Pedro Cavaleiro; Gabriel Atanásio; Inês Albuquerque; Paulo Castro Chaves; Luís Azevedo Journal: Neurocrit Care Date: 2019-04 Impact factor: 3.210
Authors: Wei Sun; Amanda Peacock; Jane Becker; Barbara Phillips-Bute; Daniel T Laskowitz; Michael L James Journal: J Clin Neurosci Date: 2012-06-16 Impact factor: 1.961
Authors: Ji-Yong Lee; Caroline King; Dana Stradling; Michael Warren; Dennis Nguyen; Johnny Lee; Mark A Riola; Ricardo Montoya; Dipika Patel; Vu H Le; Susan J Welbourne; Steven C Cramer Journal: J Neuroimaging Date: 2012-12-28 Impact factor: 2.486
Authors: Christian Zweifel; Mira Katan; Philipp Schuetz; Martin Siegemund; Nils G Morgenthaler; Adrian Merlo; Beat Mueller; Mirjam Christ-Crain Journal: BMC Neurol Date: 2010-05-26 Impact factor: 2.474