Prognostic Value of Intracerebral Hemorrhage Score in Patients with Spontaneous Intracerebral Hemorrhage

  • Karrar Hammoodi Hadi Division of Emergency, Baghdad teaching hospital, Medical City, Baghdad, Iraq.
  • Nawfal Madhi Sheaheed Director, Division of Neurology, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq.
  • Ali Kadim Karim Division of Neurology, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq.
  • Jawad Ibrahim Rasheed Nursing Home hospital, Medical City, Baghdad, Iraq.


Objective: to assess the performance and validity of ICH score in prediction of 30-day mortality as an outcome of patients with spontaneous ICH.
Methods: A prospective study was conducted in the emergency department of Baghdad teaching hospital during the period from 1st of May 2014 to the end of March 2015. A sample of 45 patients presented with non-traumatic ICH was included. Assessment of the patients with ICH scoring was performed and the total ICH score was calculated for each patient, patients followed up for 30 days and the mortality was reported. The 30-day mortality then compared with the ICH scores.
Results: The ICH score for the studied group ranged 1-5, no patients with score 0 or 6. Mortalities reported among patients at each score was 11.1% in those with score 1, 30% in score 2, 85.7% in score 3, 88.9% in score 4 and 100 in score 5. A strong direct significant correlation had been found between ICH score and 30-day mortalities. A progressive increase in the mortalities with the increase in the ICH score (r=0.75, P<0.001), lower Glasgow coma scale, the presence of IVH, ICH volume ≥30 ml, and age of > 80 years were significantly correlated with higher 30-days mortalities (P<0.05).
Conclusion: Higher mortality rates were reported in patients with higher ICH score. The ICH score is a good prognostic tool had an excellent performance in, predicting the 30-day mortality in patients with spontaneous ICH.
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How to Cite
HADI, Karrar Hammoodi et al. Prognostic Value of Intracerebral Hemorrhage Score in Patients with Spontaneous Intracerebral Hemorrhage. Iraq Medical Journal, [S.l.], v. 3, n. 1, feb. 2019. ISSN 2521-8492. Available at: <>. Date accessed: 29 may 2020.