Abstract.
Background and Purpose: To identify the significant prognostic factors, upon admission, and construct a set of criteria to predict short-term functional outcome of patients with intracerebral hemorrhage (ICH). Methods: The records as well as the radiological findings, of 184 consecutive cases of spontaneous supratentorial intracerebral hemorrhage, that were treated medically, were reviewed. The hemorrhage was graded according to size, mass effect and intraventricular extension. Outcome upon discharge was scored using the modified Rankin Scale. A score of four or more was considered a poor outcome. Multivariate analysis was used to identify the factors associated with a poor outcome. Results: Six significant and independent prognostic variables were identified: decreased level of consciousness, severe hemiparesis, age older than sixty, large hematoma size, midline shift and intraventricular extension on CT. These variables were scored systematically to produce the ICH criteria. The sum of these criteria yields a figure between zero and six termed ICH score. Patient grou** according to ICH score identified four distinctive, prognostic groups: I – score of zero to one, II – score of two, III – score of three and IV – score of four to six in which 82 %, 53.7 %, 23.3 % and 0 % achieved a good outcome respectively (P < 0.05 for all groups). Conclusions: The present study identified six independent admission criteria predicting the short-term functional outcome of ICH patients. Their sum may serve to predict the short-term functional outcome upon admission of medically-treated patients with spontaneous supratentorial intracerebral hemorrhage.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received: 29 January 2002, Received in revised form: 18 April 2002, Accepted: 2 July 2002
Correspondence to Chen Hallevy, MD
Rights and permissions
About this article
Cite this article
Hallevy, C., Ifergane, G., Kordysh, E. et al. Spontaneous supratentorial intracerebral hemorrhage . J Neurol 249, 1704–1709 (2002). https://doi.org/10.1007/s00415-002-0911-1
Issue Date:
DOI: https://doi.org/10.1007/s00415-002-0911-1