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
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.
