Factors Which Influence Prognosis of Intracranial Haemorrhage
This has come up in Question 25 from the first paper of 2014. The examiners asked, "List five validated features affecting prognosis for patients with F" - with F being a huge frontotemporal bleed.
The college answer referred to an "intracranial haemorrhage score". There are a few of those.
The specific scoring system referred to in the official model answer was probably the modified Essen ICH score rather than the original ICH score. The Essen people added the NIH-SS score and intraventricular extension to the list of scored variables in order to refine the system, apparently with an improvement in its predictive value.
- Age over 80
- A high NIH-SS score (National Institutes of Health stroke scale)
- GCS (3-4)
- Volume of blood exceeding 30ml (30cm2)
- Infratentorial origin
- Intraventricular extension of haemorrhage
The FUNC score is another system, which appears to accurately identify those patients who will have a low chance of neurological recovery at discharge; it does not incorporate the location of the ICH.