Grading scale for prediction of outcome in primary intracerebral hemorrhages

被引:229
|
作者
Ruiz-Sandoval, Jose L. [1 ]
Chiquete, Erwin
Romero-Vargas, Samuel
Padilla-Martinez, Juan J.
Gonzalez-Cornejo, Salvador
机构
[1] Hosp Civil Guadalajara Fray Antonio Alcalde, Serv Neurol & Neurocirugia, Dept Neurol & Neurosurg, Guadalajara 44280, Jalisco, Mexico
[2] Univ Guadalajara, Ctr Univ Ciencias Salud, Dept Neurosci, Guadalajara 44430, Jalisco, Mexico
关键词
intracerebral hemorrhage; mortality; outcome; prognosis; risk factors;
D O I
10.1161/STROKEAHA.106.478222
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background and Purpose - This study aimed to independently derive an intracerebral hemorrhage grading scale ( ICH-GS) for prediction of 3 outcome measures. Methods - We evaluated 378 patients with primary ICH at hospital arrival and during the next 30 days. Independent predictors were identified by multivariate models of in-hospital and 30-day mortality. Points were allotted to each predictor based on its prognostic performance. ICH-GS was also evaluated to predict good 30-day functional status and ICH-GS was compared with the ICH score as the reference scoring system. Results - Independent predictors were age, Glasgow Coma Scale, ICH location, ICH volume, and intraventricular extension, all components of the ICH score. Nevertheless, different cutoffs and scoring improved substantially the prognostic power of the predictors. Compared with the ICH score, ICH-GS explained more variance in the 3 outcome measures, had higher sensitivity in predicting in-hospital and 30-day mortality, and performed equally well in predicting good functional outcome at 30 days follow up. Conclusions - The derived ICH-GS is a simple yet robust scale in predicting in-hospital and 30-day mortality, as well as good 30-day functional status, with equivalent performance.
引用
收藏
页码:1641 / 1644
页数:4
相关论文
共 50 条
  • [1] Reappraisal of Intracerebral Hemorrhages and Intracerebral Hemorrhage Grading Scale Score in Surgically and Medically Managed Cerebellar Intracerebral Hemorrhage
    Won, Sae-Yeon
    Walter, Johannes
    Hernandez-Duran, Silvia
    Alhalabi, Obada T.
    Behmanesh, Bedjan
    Bernstock, Joshua D.
    Czabanka, Marcus
    Dinc, Nazife
    Dubinski, Daniel
    Flueh, Charlotte
    Freiman, Thomas M.
    Grosch, Anne S.
    Herrmann, Eva
    Kang, Young Sill
    Konczalla, Juergen
    Kramer, Andreas
    Lehmann, Felix
    Lemcke, Johannes
    Melkonian, Ruzanna
    Mielke, Dorothee
    Mueller, Lukas
    Ringel, Florian
    Rohde, Veit
    Schneider, Matthias
    Senft, Christian
    Schuss, Patrick
    Turgut, Merih Oznur
    Synowitz, Michael
    Ullmann, Joana M.
    Vatter, Hartmut
    Zweckberger, Klaus
    Kilinc, Fatma
    Gessler, Florian
    NEUROSURGERY, 2023, 92 (05) : 1021 - 1028
  • [2] Intracerebral Hemorrhages From Cerebral Arteriovenous Malformations: Prognostic Grading
    Gaab, Michael R.
    WORLD NEUROSURGERY, 2016, 93 : 471 - 473
  • [3] CLASSIFICATION OF PRIMARY INTRACEREBRAL HEMORRHAGES AND OPERATIVE INDICATIONS
    MIZUKAMI, M
    KIN, H
    SAKUTA, Y
    NISHIJIMA, M
    ARAKI, G
    MIHARA, H
    JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1977, 1 (02) : 261 - 261
  • [5] Multiple simultaneous intracerebral hemorrhages -: Clinical features and outcome
    Mauriño, J
    Saposnik, G
    Lepera, S
    Rey, RC
    Sica, RE
    ARCHIVES OF NEUROLOGY, 2001, 58 (04) : 629 - 632
  • [6] Prediction of functional outcome following spontaneous intracerebral hemorrhage in adults: A proposed grading system
    Rodrigue, TC
    Suarez, JI
    Zaidat, OO
    Wensel, A
    Bambakidis, N
    Echeverri, JC
    Selman, WR
    STROKE, 2003, 34 (01) : 319 - 319
  • [7] Primary Multiple Simultaneous Intracerebral Hemorrhages between 1950 and 2013: Analysis of Data on Age, Sex and Outcome
    Laiwattana, Denchai
    Sangsawang, Bussara
    Sangsawang, Nucharee
    CEREBROVASCULAR DISEASES EXTRA, 2014, 4 (02): : 102 - 114
  • [9] Predictors of good outcome in medium-large intracerebral hemorrhages
    Davalos, A
    Castillo, J
    Leira, R
    Silva, Y
    Javier, T
    Vila, N
    Gil-Peralta, A
    Vivancos, J
    Castellanos, M
    STROKE, 2002, 33 (01) : 344 - 344
  • [10] Prediction of functional outcome in patients with primary intracerebral hemorrhage the FUNC score
    Rost, Natalia S.
    Smith, Eric E.
    Chang, Yuchiao
    Snider, Ryan W.
    Chanderraj, Rishi
    Schwab, Kristin
    FitzMaurice, Emily
    Wendell, Lauren
    Goldstein, Joshua N.
    Greenberg, Steven M.
    Rosand, Jonathan
    STROKE, 2008, 39 (08) : 2304 - 2309