External Validation of the ICH Score

Clarke, Jennifer; Johnston, S. Claiborne; Farrant, Mary; Bernstein, Richard A.; Tong, David; Hemphill, J. Claude

doi:10.1385/ncc:1:1:53

Cited by 130 publications

(93 citation statements)

References 32 publications

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“…Bad outcome was associated with increase in ICH score. Various other studies also support this result 5,14,36 . The accuracy of this score in predicting outcome may be considered superior to admission GCS.…”

Section: Results and Observationssupporting

confidence: 61%

Prognostic Factors in Intracerebral Hemorrhage: A Hospital Based Prospective Study

Goswami¹,

Sharma²,

Das³

et al. 2016

IJMRP

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Introduction: Intracerebral hemorrhage (ICH), a form of stroke syndrome results from the rupture of an intracerebral vessel leading to the development of a hematoma in the substance of the brain. Incidence rates are particularly high in Asians and Blacks. Attempts are made to prognosticate ICH patients and manage them accordingly. This is particularly important for the socio-economic profile of the patients availing our services. Methods: All together 90 patients of ICH were taken up in this study done in Gauhati Medical College and Hospital during the period from July 2013 to June 2015. Patients were diagnosed on the basis of a thorough medical history, a full neurological examination, standardized blood tests and CT scan of the brain. Prognostication was done on the basis of clinical and radiological findings. Prognosis was assessed as good or bad outcome on the 15th day based on neurological examination. Statistical analysis was done by using the chi-square test, fisher's t-test and student's t-test wherever applicable. Results: In our study 35.55% patients showed bad outcome. Increasing age, low level of consciousness, low GCS score, bilateral limb weakness, high blood pressure, gaze palsies, pupillary abnormalities and CT brain findings of higher volume (>=30 ml) of hematoma, midline shift, intraventricular extension and a high ICH score were associated with bad outcome.

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Section: Results and Observationssupporting

confidence: 61%

Prognostic Factors in Intracerebral Hemorrhage: A Hospital Based Prospective Study

Goswami¹,

Sharma²,

Das³

et al. 2016

IJMRP

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“…114 The ICH score, which has been validated in several populations, reliably predicts outcome and 30-day mortality for patients with spontaneous ICH. 105,[115][116][117] To help stratify the risk of surgery for the AVM patient, an easy-to-use, common scale developed for this purpose should be used and documented. Although there have been many changes in the treatment of AVMs, the only clinical scale developed for the purpose of predicting outcome after AVM surgery is the Spetzler-Martin score.…”

Section: Justificationmentioning

confidence: 99%

Metrics for Measuring Quality of Care in Comprehensive Stroke Centers: Detailed Follow-Up to Brain Attack Coalition Comprehensive Stroke Center Recommendations

Leifer¹,

Bravata²,

Connors³

et al. 2011

Stroke

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164

133

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Background-Stroke is a major cause of disability and death. The Brain Attack Coalition has proposed establishment of primary and comprehensive stroke centers to provide appropriate care to stroke patients who require basic and more advanced interventions, respectively. Primary stroke centers have been designated by The Joint Commission since 2003, as well as by various states. The designation of comprehensive stroke centers (CSCs) is now being considered. To assist in this process, we propose a set of metrics and related data that CSCs should track to monitor the quality of care that they provide and to facilitate quality improvement. Methods and Results-We analyzed available guideline statements, reviews, and other literature to identify the major features that distinguish CSCs from primary stroke centers, drafted a set of metrics and related data elements to measure the key components of these aspects of stroke care, and then revised these through an iterative process to reach a consensus. We propose a set of metrics and related data elements that cover the major aspects of specialized care for patients with ischemic cerebrovascular disease and nontraumatic subarachnoid and intracerebral hemorrhages at CSCs. Conclusions-The metrics that we propose are intended to provide a framework for standardized data collection at CSCs to facilitate local quality improvement efforts and to allow for analysis of pooled data from different CSCs that may lead to development of national performance standards for CSCs in the future. (Stroke. 2011;42:849-877.)

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“…It represents actively extravasating unclotted fresh blood which is of lower attenuation than clotted blood (typically 50-70 HU) which surrounds it [27][28][29][30]. The clinico-radiological ICH score was calculated by assessing the Glasgow Coma Scale just before placement under mechanical ventilation [31,32].…”

Section: Methodsmentioning

confidence: 99%

Prediction of evolution toward brain death upon admission to ICU in comatose patients with spontaneous intracerebral hemorrhage using simple signs

et al. 2013

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External Validation of the ICH Score

Cited by 130 publications

References 32 publications

Prognostic Factors in Intracerebral Hemorrhage: A Hospital Based Prospective Study

Prognostic Factors in Intracerebral Hemorrhage: A Hospital Based Prospective Study

Metrics for Measuring Quality of Care in Comprehensive Stroke Centers: Detailed Follow-Up to Brain Attack Coalition Comprehensive Stroke Center Recommendations

Prediction of evolution toward brain death upon admission to ICU in comatose patients with spontaneous intracerebral hemorrhage using simple signs

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