The max‐intracerebral hemorrhage score predicts long‐term outcome of intracerebral hemorrhage

Suo, Yue; Chen, Wei Qi; Pan, Yuesong; Peng, Yu Jing; Yan, Hong; Zhao, Xing Quan; Liu, Li Ping; Wang, Yi Long; Liu, Gai Fen

doi:10.1111/cns.12846

Cited by 16 publications

(18 citation statements)

References 43 publications

(57 reference statements)

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“…There was no separate analysis of maximally treated patients. 14 The results of this validation study suggest that the superior performance of the max-ICH score compared to the ICH score in the max-ICH derivation study may be associated with relative overfitting.…”

Section: Discussionmentioning

confidence: 84%

“…A much larger cohort of maximally treated patients with ICH could be used to confirm a small magnitude of superiority of one prognostic scoring system over others, just as the Essen-ICH score was confirmed to be modestly superior to the max-ICH score and ICH score in unselected patients. 8,14 Citing the 10 related publications, the summary of this topic in the American Heart Association Guidelines for the Management of Spontaneous Intracerebral Hemorrhage appears to have held true over time: "Numerous grading scales exist specifically for ICH. Although the optimal severity scale is not yet clear, the most widely used and externally validated is the ICH score.…”

Section: Discussionmentioning

confidence: 99%

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Assessment and comparison of the max-ICH score and ICH score by external validation

et al. 2018

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Assessment and comparison of the max-ICH score and ICH score by external validation

et al. 2018

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“…The ICH score was the first developed grading scale for patients with ICH and is still widely used in many institutions. Later, several ICH-specific, neurologic evaluation, and radiology-based prognostic scales (including max-ICH, Essen-ICH, and ICH-FOS) were created and tested for prognostication performance over the original ICH grading scale [5][6][7][8][9][10]. There are very few studies comparing simple ICH-specific grading scales and routine ICU scoring systems.…”

Section: Discussionmentioning

confidence: 99%

“…The ICH score was the first developed and the most widely used clinical grading scale [5]. However, numerous studies have shown the superiority of max-ICH score, ICH functional outcome score (ICH-FOS), and Essen-ICH score to the ICH score [6][7][8][9][10][11]. The Acute Physiology and Chronic Health Evaluation (APACHE) IV is the latest version of the APACHE-II scale, which was modified by adding a new set of parameters and disease-specific subgroups [12].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Conventional Intensive Care Scoring Systems and Prognostic Scores Specific for Intracerebral Hemorrhage in Predicting One-Year Mortality

et al. 2020

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Background: Specific prognostic models for intracerebral hemorrhage (ICH) have short and simple features, whereas intensive care unit (ICU) severity scales include more complicated parameters. Even though newly developed ICU severity scales have disease-specific properties, they still lack radiologic parameters, which is crucial for ICH. Aims: To compare the performance of the Simplified Acute Physiology Score (SAPS) III, Acute Physiology and Chronic Health Evaluation (APACHE) IV, Logistic Organ Dysfunction Score (LODS), ICH, max-ICH, ICH functional outcome score (ICH-FOS), and Essen-ICH for prediction of in-hospital and one-year mortality of patients with ICH. Methods: A single-center analysis of 137 patients with ICH was conducted over 5 years. The performance of scoring systems was evaluated with receiver operating characteristic analysis. The independent predictors of one-year mortality were investigated with a multivariate logistic regression analysis. The SAPS-III score was calculated both in the emergency department (ED) and ICU. Results: Among the independent variables, the need for mechanical ventilation, hematoma volume, the presence of intraventricular hemorrhage, and hematoma originating from both lobar and nonlobar regions were found as the strongest predictor of one-year mortality. For in-hospital mortality, the discriminative power of SAPS-II, APACHE-IV, and LODS was excellent, and for SAPS-III-ICU and SAPS-III-ED, it was good. For one-year mortality, the discriminative power of SAPS-II, APACHE-IV, LODS, and SAPS-III-ICU was good, and for SAPS-III-ED, Essen-ICH, ICH, max-ICH, and ICH-FOS, it was fair. Conclusions: Although all three ICH-specific prognostic scales performed satisfactory results for predicting one-year mortality, the common intensive care severity scoring showed better performance. SAPS-III scores may be recommended for use in EDs after proper customization.

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“…If the patient is clinically stable, MRI study (gradient echo or T2 sequences) or other vascular imaging modalities such as CT angiography can be used to determine the underlying cause 16 19. Grading scales such as the ICH score and its derivatives, such as the functional outcome (FUNC) score that is based on ICH volume, location and presence of intraventricular haemorrhage (IVH), can be used to prognosticate neurological outcome and mortality 20 21…”

Section: Managementmentioning

confidence: 99%

Minimally invasive surgery and transsulcal parafascicular approach in the evacuation of intracerebral haemorrhage

et al. 2019

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Intracerebral haemorrhage (ICH) describes haemorrhage into the brain parenchyma that may result in a decline of the patient’s neurological function. ICH is a common cause of morbidity and mortality worldwide. Aggressive surgical treatment for ICH has remained controversial as clinical trials have failed to demonstrate substantial improvement in patient outcome and mortality. Recently, promising mechanical and pharmacological minimally invasive surgery (MIS) techniques for the treatment of ICH have been described. MIS was designed with the objective of reducing morbidity due to complications of surgical manipulation. Mechanical MIS includes the use of tubular retractors and small diameter instruments for ICH removal. Pharmacological methods consist of catheter placement inside the haematoma cavity for the passive drainage of the haematoma over the course of several days. One of the most favourable approaches for MIS is the use of natural corridors for reaching the lesion, such as the transsulcal parafascicular approach. This approach provides an anatomical dissection of the subjacent white matter tracts, causing the least amount of damage while evacuating the haematoma. A detailed description of the currently known MIS techniques and devices is presented in this review. Special attention is given to the transsulcal parafascicular approach, which has particular benefits to provide a less traumatic MIS with promising overall patient outcome.

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The max‐intracerebral hemorrhage score predicts long‐term outcome of intracerebral hemorrhage

Abstract: The easy-to-use max-ICH score is a reliable tool to predict unfavorable long-term (12-month) functional outcome and death after intracerebral hemorrhage in the Chinese population.

Cited by 16 publications

References 43 publications

Assessment and comparison of the max-ICH score and ICH score by external validation

Assessment and comparison of the max-ICH score and ICH score by external validation

Comparison of Conventional Intensive Care Scoring Systems and Prognostic Scores Specific for Intracerebral Hemorrhage in Predicting One-Year Mortality

Minimally invasive surgery and transsulcal parafascicular approach in the evacuation of intracerebral haemorrhage

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