Intracerebral Hemorrhage (ICH) Score 

Updated: Sep 12, 2014
  • Author: Stavropoula I Tjoumakaris, MD; more...
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Intracerebral Hemorrhage (ICH) Score

The intracerebral hemorrhage (ICH) score is a prognostic model for predicting mortality among patients with spontaneous ICH. In an original study of 152 patients with ICH, the authors allocated points for Glasgow coma scale (GCS) score, ICH volume, presence of intraventricular hemorrhage (IVH), age, and infratentorial origin to predict 30-day mortality, which steadily increases with increasing scores. [1]

Components for ICH score

GCS score

  • 3-4: 2 points
  • 5-12: 1 point
  • 13-15: 0 points

ICH volume

  • ≥30 cm 3: 1 point
  • < 30 cm 3: 0 points

IVH

  • Yes: 1 point
  • No: 0 points

Infratentorial origin of ICH

  • Yes: 1 point
  • No: 0 points

Age

  • Age 80 years or older: 1 point
  • Younger than 80 years: 0 points

Mortality rate based on ICH Score

ICH scores with corresponding mortality risk are as follows:

  • 0 points: 0%
  • 1 point: 13%
  • 2 points: 26%
  • 3 points: 72%
  • 4 points: 97%
  • 5 points: 100%
  • 6 points: 100% (estimated)