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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    Secondary Intracerebral Hemorrhage (sICH) Score

    Quantifies likelihood of underlying vascular etiology in patients with ICH.
    When to Use
    Pearls/Pitfalls
    Why Use

    Patients with ICH who have had non-contrast CT (NCCT).

    • The Secondary ICH (sICH) Score predicts likelihood that a given ICH is secondary to an underlying vascular abnormality, based on clinical and radiographic characteristics.
    • Should not be used for patients with any of the following:
      • Subarachnoid hemorrhage in the basal cisterns.
      • Clear-cut, pre-established acute ischemic infarct with secondary hemorrhage within the area of infarct.
      • Known intracranial vascular abnormality or mass lesion.
      • Known probable cerebral amyloid angiopathy per Boston criteria.
    • Does not predict morbidity or mortality in ICH.
    • Difference in discriminatory performance according to imaging interpretations by neurologists vs radiologists has not been determined.
    • Can help stratify which patients with ICH should undergo CT angiography (CTA) if CTA is not routinely performed for workup of ICH at specific institutions.
    • In select cases, can help determine which patients with ICH should undergo catheter angiogram (the risks of which include, but are not limited to, renal injury, pseudoaneurysm, and arterial dissection) for definitive evaluation for an underlying vascular abnormality.
    • May help with operative planning when emergent neurosurgery for ICH is indicated and either CTA or catheter angiogram cannot be done safely.
    High
    +2
    Indeterminate
    +1
    Low
    0
    18-45 years
    +2
    46-70 years
    +1
    >71 years
    0
    Male
    0
    Female
    +1
    No
    0
    Yes
    +1

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Josser Delgado Almandoz

    About the Creator

    Josser Delgado Almandoz, MD, is a consulting neuroradiologist at Abbott Northwestern Hospital in Minneapolis, MN. He is an active researcher on topics including stroke intervention and other intracranial disease. He was a contributing author to the Training Guidelines for Endovascular Ischemic Stroke Intervention: An International Multi-Society Consensus Document, a consensus on stroke treatment training of 10 neurological disease societies around the world.

    To view Dr. Josser Delgado Almandoz's publications, visit PubMed

    Are you Dr. Josser Delgado Almandoz? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Content Contributors
    About the Creator
    Dr. Josser Delgado Almandoz
    Are you Dr. Josser Delgado Almandoz?
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