Neurology
Intracerebral Hemorrhage (ICH) Score
Estimates 30-day mortality for spontaneous intracerebral hemorrhage.
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Parameters
Intracerebral Hemorrhage (ICH) Score Result
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Formula
Sum of points from GCS (0-2), ICH Volume ≥30 (0-1), IVH (0-1), Infratentorial (0-1), and Age ≥80 (0-1).Clinical Pearls
Helps standardize clinical communication and prognostication during early goals-of-care discussions with family members.
Limitations
Designed to predict mortality, not functional outcome (mRS). Should not be used in isolation to make early decisions to withdraw life-sustaining treatment, as aggressive early care can improve outcomes.