RT Journal Article
T1 Validation of the ICH score in patients with spontaneous intracerebral haemorrhage admitted to the intensive care unit in Southern Spain.
A1 Rodriguez-Fernandez, Sonia
A1 Castillo-Lorente, Encarnacion
A1 Guerrero-Lopez, Francisco
A1 Rodriguez-Rubio, David
A1 Aguilar-Alonso, Eduardo
A1 Lafuente-Baraza, Jesus
A1 Gomez-Jimenez, Francisco Javier
A1 Mora-Ordoñez, Juan
A1 Rivera-Lopez, Ricardo
A1 Arias-Verdu, Maria Dolores
A1 Quesada-Garcia, Guillermo
A1 Arraez-Sanchez, Miguel Angel
A1 Rivera-Fernandez, Ricardo
K1 ICH score
K1 ICU
K1 Intracerebral haemorrhage
K1 Mortality
K1 Prognostic model
K1 Area de Gestión Sanitaria Sur de Córdoba
K1 Área de Gestión Sanitaria Serrania de Malaga
AB 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.
PB BMJ Group
YR 2018
FD 2018-06-22
LK http://hdl.handle.net/10668/12831
UL http://hdl.handle.net/10668/12831
LA en
NO Rodríguez-Fernández S, Castillo-Lorente E, Guerrero-Lopez F, Rodríguez-Rubio D, Aguilar-Alonso E, Lafuente-Baraza J, et al. Validation of the ICH score in patients with spontaneous intracerebral haemorrhage admitted to the intensive care unit in Southern Spain. BMJ Open. 2018 Aug 13;8(8):e021719
DS RISalud
RD Apr 12, 2025