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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Broderick J, Connolly S, Feldmann E, Hanley D et al (2007) Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Circulation 116:e391–e413
Cheung RT, Zou LY (2003) Use of the original, modified, or new intracerebral hemorrhage score to predict mortality and morbidity after intracerebral hemorrhage. Stroke 34:1717–1722
Clarke JL, Johnston SC, Farrant M, Bernstein R, Tong D, Hemphill JC 3rd (2004) External validation of the ICH score. Neurocrit Care 1:53–60. doi:NCC:1:1:53 [pii]
Diringer MN, Edwards DF, Zazulia AR (1998) Hydrocephalus: a previously unrecognized predictor of poor outcome from supratentorial intracerebral hemorrhage. Stroke 29:1352–1357
Engelhard HH, Andrews CO, Slavin KV, Charbel FT (2003) Current management of intraventricular hemorrhage. Surg Neurol 60:15–21, discussion 21–12
Fernandes HGB, Siddique MS, Mendelow AD (2002) Testing the ICH score. Stroke 33:1455–1456
Godoy DA, Pinero G, Di Napoli M (2006) Predicting mortality in spontaneous intracerebral hemorrhage: can modification to original score improve the prediction? Stroke 37:1038–1044
Graeb DA, Robertson WD, Lapointe JS, Nugent RA, Harrison PB (1982) Computed tomographic diagnosis of intraventricular hemorrhage. Etiology and prognosis. Radiology 143:91–96
Hemphill JC III, Bonovich DC, Besmertis L, Manley GT, Johnston SC (2001) The ICH score: a simple, reliable grading scale for intracerebral hemorrhage. Stroke 32:891–897
Jamora RD, Kishi-Generao EM Jr, Bitanga ES, Gan RN, Apaga NE, San Jose MC (2003) The ICH score: predicting mortality and functional outcome in an Asian population. Stroke 34:6–7
Kothari RU, Brott T, Broderick JP, Barsan WG, Sauerbeck LR, Zuccarello M, Khoury J (1996) The ABCs of measuring intracerebral hemorrhage volumes. Stroke 27:1304–1305
Phan TG, Koh M, Vierkant RA, Wijdicks EF (2000) Hydrocephalus is a determinant of early mortality in putaminal hemorrhage. Stroke 31:2157–2162
Ruiz-Sandoval JL, Chiquete E, Romero-Vargas S, Padilla-Martinez JJ, Gonzalez-Cornejo S (2007) Grading scale for prediction of outcome in primary intracerebral hemorrhages. Stroke 38:1641–1644
Stein M, Luecke M, Preuss M, Boeker D, Joedicke A, Oertel M (2010) Spontaneous intracerebral hemorrhage (SICH) with ventricular extension and the grading of obstructive hydrocephalus – the prediction of outcome of a special, life threatening entity. Neurosurgery 67(5):1245–1251, D-09-00922R1
Tuhrim S, Horowitz DR, Sacher M, Godbold JH (1995) Validation and comparison of models predicting survival following intracerebral hemorrhage. Crit Care Med 23:950–954
Tuhrim S, Horowitz DR, Sacher M, Godbold JH (1999) Volume of ventricular blood is an important determinant of outcome in supratentorial intracerebral hemorrhage. Crit Care Med 27:617–621
Conflict of interest statement
We declare that we have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag/Wien
About this paper
Cite this paper
Stein, M., Luecke, M., Preuss, M., Scharbrodt, W., Joedicke, A., Oertel, M.F. (2011). The Prediction of 30-Day Mortality and Functional Outcome in Spontaneous Intracerebral Hemorrhage with Secondary Ventricular Hemorrhage: A Score Comparison. In: Tsukahara, T., Regli, L., Hänggi, D., Turowski, B., Steiger, HJ. (eds) Trends in Neurovascular Surgery. Acta Neurochirurgica Supplementum, vol 112. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0661-7_2
Download citation
DOI: https://doi.org/10.1007/978-3-7091-0661-7_2
Published:
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-0660-0
Online ISBN: 978-3-7091-0661-7
eBook Packages: MedicineMedicine (R0)