Tested on Gulf Medical Boards (DHA, SMLE, MOH & HAAD)
Clinical calculations and diagnostic scoring systems like Intracerebral Hemorrhage (ICH) Score frequently appear on Prometric exams. Master high-yield clinical vignettes with instant AI-powered pathophysiology rationales.
What is the Intracerebral Hemorrhage (ICH) Score?
The Intracerebral Hemorrhage (ICH) Score is an evidence-based clinical decision rule engineered to quantify diagnostic probability, stratify clinical severity, and guide therapeutic decision-making in neurology practice. The ICH Score is a simple clinical grading scale that provides a reliable and objective estimate of 30-day mortality in patients presenting with a spontaneous intracerebral hemorrhage. Clinical scoring tools like Intracerebral Hemorrhage (ICH) Score are essential in acute and outpatient management, enabling clinicians to objectively differentiate between low-risk candidates suitable for conservative therapy and high-risk patients requiring urgent interventions. Verified against current 2026 clinical standards, this tool is extensively tested on Gulf health authority licensing exams including DHA (Dubai), SMLE (Saudi Arabia), MOH, HAAD/DOH (Abu Dhabi), OMSB (Oman), and QCHP (Qatar).
💡Clinical Pearls & Diagnostic Utility
Helps standardize clinical communication and prognostication during early goals-of-care discussions with family members.
Formula & Calculation Parameters
The mathematical equation and clinical variables required to calculate Intracerebral Hemorrhage (ICH) Score:
Score Interpretation & Clinical Stratification
| Score Range | Clinical Interpretation | Risk Tier |
|---|---|---|
| ≤ 1 | Low Mortality | green |
| 2 – 3 | Moderate Mortality | yellow |
| ≥ 4 | High Mortality | red |
When to Exercise Caution
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.
Clinical Review Board
Dr. Muhammad Nouman, MBBS
Capital Medical University | PMDC Reg No: 117744-P
Clinical Audit Status
✓ Verified for 2026 Guidelines
Last updated: 2026-08-07
Peer-Reviewed Medical Literature
- •Hemphill JC 3rd, Bonovich DC, Besmertis L, Manley GT, Johnston SC. The ICH score: a simple, reliable grading scale for intracerebral hemorrhage. Stroke. 2001;32(4):891-897.
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