Iranian Journal of Neurology 2018. 17(1):.

Predicting 30-day mortality in patients with primary intracerebral hemorrhage: Evaluation of the value of ICH and modified New ICH Score
Farzad Rahmani, Reza Rikhtegar, Alireza Ala, Aysan Fakhad Rasooli, Haniyeh Ebrahimi Bakhtavar


Introduction: Different criteria have been proposed for determining the primary intracerebral hemorrhage (ICH) mortality rate. The aim of the present study was to evaluate ICH Score and modified New ICH Score in predicting 30-day mortality in patients with primary ICH.

Materials and Methods: In this prospective cohort study, a total of 107 patients diagnosed with primary ICH were enrolled into the study at an interval of six months (October 2015-March 2016). The Modified new ICH score and ICH score were evaluated. The Modified new ICH was different from the New ICH score since the NIHSS variable was replaced by Modified Rankin Scale (MRS) in the modified score.

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

Conclusion: The current study showed that both ICH score and Modified new ICH score criteria were almost equally effective in determining the mortality of patients with primary ICH, and both criteria have acceptable value in determining the mortality of patients. Therefore, routine assessment ICH score, and Modified new ICH score in patients with ICH in emergency wards is recommend.


Intracranial Hemorrhages, Mortality, Prognosis, Emergency Departments


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