%0 Journal Article
%A Rodriguez-Fernandez, Sonia
%A Castillo-Lorente, Encarnacion
%A Guerrero-Lopez, Francisco
%A Rodriguez-Rubio, David
%A Aguilar-Alonso, Eduardo
%A Lafuente-Baraza, Jesus
%A Gomez-Jimenez, Francisco Javier
%A Mora-Ordoñez, Juan
%A Rivera-Lopez, Ricardo
%A Arias-Verdu, Maria Dolores
%A Quesada-Garcia, Guillermo
%A Arraez-Sanchez, Miguel Angel
%A Rivera-Fernandez, Ricardo
%T Validation of the ICH score in patients with spontaneous intracerebral haemorrhage admitted to the intensive care unit in Southern Spain.
%D 2018
%U http://hdl.handle.net/10668/12831
%X Validation of the intracerebral haemorrhage (ICH) score in patients with a diagnosis of spontaneous ICH admitted to the intensive care unit (ICU). A multicentre cohort study was conducted in all consecutive patients with ICH admitted to the ICUs of three hospitals with a neurosurgery department between 2009 and 2012 in Andalusia, Spain. Data collected included ICH, Glasgow Coma Scale (GCS) and Acute Physiology and Chronic Health Evaluation II (APACHE-II) scores. Demographic data, location and volume of haematoma and 30-day mortality rate were also collated. A total of 336 patients were included. 105 of whom underwent surgery. Median (IQR) age: 62 (50-70) years. 21(15-26) points, GCS: 7 (4-11) points, ICH score: 2 (2-3) points. 11.1% presented with bilateral mydriasis on admission (mortality rate=100%). Intraventricular haemorrhage was observed in 58.9% of patients. In-hospital mortality was 54.17% while the APACHE-II predicted mortality was 57.22% with a standardised mortality ratio (SMR) of 0.95 (95% CI 0.81 to 1.09) and a Hosmer-Lemenshow test value (H) of 3.62 (no significant statistical difference, n.s.). 30-day mortality was 52.38% compared with the ICH score predicted mortality of 48.79%, SMR: 1.07 (95% CI 0.91 to 1.23), n.s. Mortality was higher than predicted at the lowest scores and lower than predicted in the more severe patients, (H=55.89, p ICH score shows an acceptable discrimination as a tool to predict mortality rates in patients with spontaneous ICH admitted to the ICU, but its calibration is suboptimal.
%K ICH score
%K ICU
%K Intracerebral haemorrhage
%K Mortality
%K Prognostic model
%K Area de Gestión Sanitaria Sur de Córdoba
%K Área de Gestión Sanitaria Serrania de Malaga
%~