Produção Nacional
Revisado por pares
Determining ICH Score: can we go beyond?
2009; Thieme Medical Publishers (Germany); Volume: 67; Issue: 3a Linguagem: Inglês
10.1590/s0004-282x2009000400006
ISSN1678-4227
AutoresGustavo Cartaxo Patriota, João Manoel Silva, Alécio Cristino Evangelista Santos Barcellos, Joaquim Barbosa de Sousa Silva Júnior, Diogo Oliveira Toledo, Fernando Campos Gomes Pinto, José Marcus Rotta,
Tópico(s)Acute Ischemic Stroke Management
ResumoSpontaneous intracerebral hemorrhage (SICH) still presents a great heterogeneity in its clinical evaluation, demonstrating differences in the enrollment criteria used for the study of intracerebral hemorrhage (ICH) treatment. The aim of the current study was to assess the ICH Score, a simple and reliable scale, determining the 30-day mortality and the one-year functional outcome. Consecutive patients admitted with acute SICH were prospectively included in the study. ICH Scores ranged from 0 to 4, and each increase in the ICH Score was associated with an increase in the 30-day mortality and with a progressive decrease in good functional outcome rates. However, the occurrence of a pyramidal pathway injury was better related to worse functional outcome than the ICH Score. The ICH Score is a good predictor of 30-day mortality and functional outcome, confirming its validity in a different socioeconomic populations. The association of the pyramidal pathway injury as an auxiliary variable provides more accurate information about the prognostic evolution.
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