Ji et al developed a score for predicting functional outcome for patients with intracerebral hemorrhage (ICH). The authors are from Beijing Tiantan Hospital, Capital Medical University, and University of North Carolina.
Patient selection: intracerebral hemorrhage (ICH)
Outcome: poor modified Rankin Scale (>= 3) at 1 year
Parameters:
(1) age in years
(2) NIHSS on hospital admission
(3) Glasgow Coma Score (GCS) on admission
(4) glucose on admission in mmol/L
(5) ICH location
(6) ICH volume
(7) extension into ventricles
|
Parameter |
Finding |
Points |
|
age in years |
<= 59 years |
0 |
|
|
60 to 69 years |
1 |
|
|
70 to 79 years |
2 |
|
|
>= 80 years |
4 |
|
NIHSS score on admission |
0 to 5 |
0 |
|
|
6 to 10 |
2 |
|
|
11 to 15 |
3 |
|
|
16 to 20 |
4 |
|
|
>= 21 |
5 |
|
GCS score on admission |
3 to 8 |
2 |
|
|
9 to 12 |
1 |
|
|
13 to 15 |
0 |
|
glucose on admission |
<= 11.0 mmol/L |
0 |
|
|
> 11.0 mmol/L |
1 |
|
ICH location |
supratentorial |
0 |
|
|
infratentorial |
1 |
|
ICH volume |
supratentorial, < 40 mL |
0 |
|
|
supratentorial, >= 40 mL |
2 |
|
|
infratentorial, < 10 mL |
0 |
|
|
infratentorial, >= 10 mL |
2 |
|
extension iinto ventricles |
no |
0 |
|
|
yes |
1 |
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 16
• The higher the score the worse the functional outcome.
|
Total Score |
Percent with Poor Outcome at 1 Year |
|
0 |
8% |
|
1 to 4 |
25% |
|
5 to 8 |
66% |
|
9 to 12 |
90% |
|
13 to 16 |
> 95% |
Purpose: To identify a patient who is likely to have a poor functional outcome after an intracerebral hemorrhage (ICH) using the ICH-FOS score of Ji et al.
Specialty: Sports Medicine & Rehabilitation, Neurology
Objective: severity, prognosis, stage, disease progression
ICD-10: I62, I63, I64,
