Iranian Journal of Neurology 2018. 17(1):47-52.

Predicting 30-day mortality in patients with primary intracerebral hemorrhage (ICH): Evaluation of the value of intracerebral hemorrhage and modified new intracerebral hemorrhage scores
Farzad Rahmani, Reza Rikhtegar, Alireza Ala, Aysan Farkhad-Rasooli, Haniyeh Ebrahimi-Bakhtavar

Abstract


Background: Different criteria have been proposed to determine the mortality rate of primary intracerebral hemorrhage (ICH). This study aimed to evaluate ICH and Modified New ICH scores in predicting 30-day mortality in patients with primary ICH.

Methods: In this prospective cohort study, 107 patients diagnosed with primary ICH were enrolled at an interval of six months (October 2015-March 2016). They were evaluated using Modified New ICH and ICH scores. The Modified New ICH score was different from the New ICH score since the National Institute of Health Stroke Scale (NIHSS) variables were replaced by Modified Rankin Scale (MRS) in the modified score.

Results: A total of 61 patients (57%) died, and
46 (43%) survived during the 30-day hospitalization. ICH ≥ 2 and Modified New ICH ≥ 3 scores predicted 30-day mortality rate in patients with the sensitivity and specificity rates of 87 and 63 percent, and 88 and 53 percent, respectively.

Conclusion: The current study showed that both ICH and Modified New ICH scores were almost equally effective in determining the mortality rate in patients with primary ICH, and both criteria had acceptable value in determining the mortality rate of patients. Therefore, routine assessment of ICH and Modified New ICH scores in patients with ICH in emergency wards is recommended.

Keywords


Intracranial Hemorrhages; Mortality; Prognosis; Emergency Departments

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