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      Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Patent Pending

    Functional Outcome in Patients With Primary Intracerebral Hemorrhage (FUNC) Score

    Identifies patients with ICH who will attain functional independence and assists in clinical decision-making.

    INSTRUCTIONS

    Use when the diagnosis of ICH is made, NOT as a continuously changing marker of neurologic status as GCS is used. Use only in patients with primary ICH. Do not use in patients with ICH from trauma, conversion from ischemic stroke, supratherapeutic INR (see Evidence section for full exclusion criteria).

    When to Use
    Pearls/Pitfalls
    Why Use
    • Patients diagnosed with ICH.
    • Grades ICH severity and subsequent likelihood of functional independence at 90 days, thus helping to guide goals of care conversations with patients’ families.
    • Often used in conjunction with the ICH score, which predicts 30 day mortality after ICH.
    • The Functional Outcome in Patients With Primary Intracerebral Hemorrhage (ICH) Score estimates likelihood of functional independence after a diagnosis of ICH.
    • It is intended to be used when the diagnosis of ICH is made, NOT as a continual marker of the patient’s prognosis throughout their stay.
    • While the score can be a marker for ICH severity, it is typically NOT used to guide treatment modality.
    • It should be used in patients with primary ICH only. Do not use in patients with secondary causes of ICH such as vascular malformation, CNS tumor, antecedent trauma or ischemic stroke, vasculitis, supratherapeutic INR (>3.0), or bleeding disorder.
    • Helps clinicians quickly and accurately prognosticate patients admitted for ICH.
    • Can be used as a tool to help guide goals of care decisions.
    <30
    +4
    30-60
    +2
    >60
    0
    <70
    +2
    70-79
    +1
    ≥80
    0
    Lobar
    +2
    Deep
    +1
    Infratentorial
    0
    ≥9
    +2
    ≤8
    0
    No
    +1
    Yes
    0

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Natalia S. Rost

    About the Creator

    Natalia S. Rost, MD, is a professor of neurology at Harvard Medical School. She is also the chief of the stroke division at the Massachusetts General Hospital. Dr. Rost’s research interests and expertise include neuroimaging of cerebrovascular disease, genetics and genomics of stroke, and outcome prediction in patients with acute stroke.

    To view Dr. Natalia S. Rost's publications, visit PubMed

    Are you Dr. Natalia S. Rost? 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
    • Nikhil Patel, MD
    About the Creator
    Dr. Natalia S. Rost
    Are you Dr. Natalia S. Rost?
    Content Contributors
    • Nikhil Patel, MD