Determining ICH Score: can we go beyond?

Arquivos de Neuro-Psiquiatria

Gustavo Cartaxo Patriota²  João Manoel Da Silva-júnior¹  Alécio Cristino Evangelista Santos Barcellos²  Joaquim Barbosa De Sousa Silva Júnior²  Diogo Oliveira Toledo¹  Fernando Campos Gomes Pinto²  José Marcus Rotta² 

[1] ,Hospital Servidor Público Estadual de São Paulo Departments of Neurosurgery São Paulo SP ,Brazil

关键词: intracerebral hemorrhage;    medical management;    outcome;    prognosis;    clinical scale;    hemorragia intracerebral;    tratamento clínico;    prognóstico;    escala clínica;   

DOI  :  10.1590/S0004-282X2009000400006

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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