Is using intracerebral hemorrhage scoring systems valid for mortality prediction in surgically treated patients?

While intracerebral hemorrhage (ICH) scoring systems provide mortality and morbidity prediction, the actual mortality rates seem to be lower than those predicted by scoring systems in our clinical impression. To assess the validity of the ICH score and the Surgical Swedish ICH (SwICH) score, we retr...

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Bibliographic Details
Published in:Neurosurgical review 2021-10, Vol.44 (5), p.2747-2753
Main Authors: Hong, Sukwoo, Maruyama, Keisuke, Noguchi, Akio, Hirano, Teruyuki, Nagane, Motoo, Shiokawa, Yoshiaki
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Neurosurgery
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Summary:While intracerebral hemorrhage (ICH) scoring systems provide mortality and morbidity prediction, the actual mortality rates seem to be lower than those predicted by scoring systems in our clinical impression. To assess the validity of the ICH score and the Surgical Swedish ICH (SwICH) score, we retrospectively reviewed surgically treated ICH patients between 2012 and 2019. Uni- and multivariate analyses were performed to identify variables in predicting 30-day mortality. We identified 203 patients (mean ICH score 2.7; mean SwICH score 2.0). The actual 30-day mortality was 7%, which was significantly lower than those predicted by the ICH and the SwICH scores (55% and 16%, respectively; p  
ISSN:0344-5607
1437-2320
DOI:10.1007/s10143-020-01451-8