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ICH Score — Intracerebral Haemorrhage
30-day mortality prediction for spontaneous ICH based on 5 clinical factors
ICH Volume — ABC/2 Method (from CT)
— mL
—
ICH Score / 6
ICH Volume: — | Volume Score: —
0
0% mort.
1
13%
2
26%
3
72%
4
97%
5
100%
6
100%
30-Day Mortality:
ICH Score Reference
| Component | Finding | Points |
|---|---|---|
| GCS | 3–4 | 2 |
| GCS | 5–12 | 1 |
| GCS | 13–15 | 0 |
| ICH Volume | ≥30 mL | 1 |
| IVH Present | Yes | 1 |
| Infratentorial | Yes | 1 |
| Age | ≥80 years | 1 |
Volume = A × B × C / 2 (ABC/2 method)
ICH Score = GCS pts + Volume pt + IVH pt + Infratentorial pt + Age pt
Range: 0–6
ICH Score = GCS pts + Volume pt + IVH pt + Infratentorial pt + Age pt
Range: 0–6
Clinical Note: ICH score was developed at UCSF. Early do-not-resuscitate orders may artificially worsen outcomes. Consider full prognostic picture including premorbid function, patient wishes. Hematoma expansion occurs in ~38% within first 3h — repeat imaging recommended.
For clinical decision support only. Not a substitute for professional medical judgment.
