The ICH score - A simple, reliable grading scale for intracerebral hemorrhage
The ICH score - A simple, reliable grading scale for intracerebral hemorrhage
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DOI：
10.1161/01.str.32.4.891
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发表时间：
2001-04-01
期刊：
影响因子：
8.3
通讯作者：
Johnston, SC
中科院分区：
文献类型：
--
作者：
Hemphill, JC;Bonovich, DC;Johnston, SC
背景和目的：脑出血（ICH）占所有中风的10% - 15%，目前仍没有一种已证实有益的治疗方法。尽管已有几种脑出血的预后预测模型，但脑出血尚无类似于外伤性脑损伤、蛛网膜下腔出血或缺血性中风的标准临床分级量表。方法：回顾1997-1998年在加州大学旧金山分校就诊的所有急性脑出血患者的记录。通过逻辑回归确定30天死亡率的独立预测因子。制定了风险分层量表（ICH评分），根据关联强度对独立预测因子进行加权。结果：与30天死亡率独立相关的因素是格拉斯哥昏迷评分(P
Background and Purpose-Intracerebral hemorrhage (ICH) constitutes 10% to 15% of all strokes and remains without a treatment of proven benefit. Despite several existing outcome prediction models for ICH, there is no standard clinical grading scale for ICH analogous to those for traumatic brain injury, subarachnoid hemorrhage, or ischemic stroke.Methods-Records of all patients with acute ICH presenting to the University of California, San Francisco during 1997-1998 were reviewed. Independent predictors of 30-day mortality were identified by logistic regression. A risk stratification scale (the ICH Score) was developed with weighting of independent predictors based on strength of association.Results-Factors independently associated with 30-day mortality were Glasgow Coma Scale score (P