🧠 ICH Score (Intracerebral Haemorrhage)
UseRisk stratification and communication in ICH.
SourceHemphill JC, et al. Stroke 2001
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
- Who it is for
- Adults with suspected acute stroke when quantifying deficit and deciding reperfusion, or TIA when judging short-term risk.
- Who it is not for
- Do not use ABCD² to decide thrombolysis. No new stroke scale.
- Formula and variables
- NIHSS is the neurologic deficit; items stay as on this page. FAST-ED is a prehospital large-vessel screen. ABCD² is age, blood pressure, clinical features, duration, and diabetes, for TIA.
- Result → next step
- This scene links only to the three tools below: deficit and time window open the thrombolysis page. A positive large-vessel screen opens thrombectomy. Drugs after the acute phase open secondary prevention. Thrombolysis shows no number until weight, onset time, pregnancy, and recent anticoagulation are known. Anticoagulant-related intracranial bleeding goes to reversal and ICH management.No numeric dose until age, weight, renal function, and pregnancy are all known. Pregnancy is contraindication or caution only.Anticoagulant reversal →ICH management →
- Guideline
- China acute ischemic stroke guideline 2023
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
Mortality rises steeply with the score.
When to use
Risk stratification and communication in ICH.
How it works
GCS (0–2) + volume ≥ 30 cm³ (1) + IVH (1) + infratentorial (1) + age ≥ 80 (1). 0–6.
Key points
- Mortality rises steeply with the score.
- Aids prognostic discussion.
- Should not alone drive withdrawal of care.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| GCS | 5–12 (1) |
|---|---|
| ICH volume ≥ 30 cm³ | No |
| Intraventricular haemorrhage | No |
| Infratentorial origin | No |
| Age ≥ 80 | No |
→ICH Score1/6
- Approx. 30-day mortality：13%
| GCS | 13–15 (0) |
|---|---|
| ICH volume ≥ 30 cm³ | No |
| Intraventricular haemorrhage | No |
| Infratentorial origin | No |
| Age ≥ 80 | No |
→ICH Score0/6
- Approx. 30-day mortality：0%
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using ICH Score (Intracerebral Haemorrhage)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does ICH Score (Intracerebral Haemorrhage) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is ICH Score (Intracerebral Haemorrhage) calculated in practice? Can you show a worked example?
- Inputs: GCS 5–12 (1), ICH volume ≥ 30 cm³ No, Intraventricular haemorrhage No, Infratentorial origin No, Age ≥ 80 No → Result: ICH Score 1 /6（Approx. 30-day mortality: 13%） Inputs: GCS 13–15 (0), ICH volume ≥ 30 cm³ No, Intraventricular haemorrhage No, Infratentorial origin No, Age ≥ 80 No → Result: ICH Score 0 /6（Approx. 30-day mortality: 0%）