Intracerebral Hemorrhage (ICH) Score
Based on age and CT findings; estimates mortality.
When to Use
- The ICH score allows for a standardized and consistent clinical grading scale for ICH, thus improving communication among clinicians.
- The ICH score grades ICH severity and subsequent 30-day mortality, thus helping to guide goals of care conversations with patients’ families.
- This score is often used in conjunction with the FUNC score, which indicates the likelihood of a patient’s functional independence 90 days after ICH.
- While the score can be a marker for ICH severity, it is typically not used to guide treatment modality.
- The ICH Score allows clinicians with varying level of training and clinical backgrounds to grade ICH severity in a succinct, universal manner.
- The ICH Score is intended to be used after the diagnosis of ICH is made, and is generally not used as a continual marker of the patient’s neurologic status (such as the GCS).
- The score is sometimes criticized as physicians and families had previously used gestalt to make the decision to withdraw care, and that this bias may have affected the validation.
- Please note that the ICH score is primarily used as a clinical grading scale and communication tool. It is not meant to provide prognostic information, and should not be used as a primary means to predict the outcomes of patients with ICH.
This tool helps clinicians quickly and accurately prognosticate patients who are admitted for ICH, and can be used as a tool to help decide the appropriate level of care and/or transfer.