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Background and purpose: Hemorrhage within the brain parenchyma (ICH) has the worst impact on human life and accounts for 10-17% of all strokes seen in the mid and later age of life. The goals of this research were to develop a new score to predict mortality and morbidity of ICH also to check the efficacy and simplicity of the new score. Methods: We performed a prospective observational cohort study of all patients with spontaneous ICH admitted to the inpatient departments of KMCH, KSH and IBH from June 1, 2010, to May 31, 2011 and follow-up for each patient was for next one year where patient assessed with the modified Rankin Scale (mRS) at 1 month, 3 months, and one year. The proposed score (GVS) was developed by check the association of independent variable and outcome. We also checked the efficacy of proposed scoring system; compare this one with previous conventional scoring system. Results: Of 209 total patients, 56 were lost to follow-up, thus we concluded the study with 153 cases. GVS was significant at p= <0.05(95% CI), CAT-PCA test revealed age, midline shift, and IVH weakly related with outcome. The interrater reliability for the raters was found to be Kappa = 0.75 (p < 0.001) reveal substantial agreement between GVS and ICH. Change in outcome after three months is less though there were some noticeable changes from three months to one year. Conclusions: The GVS is a simple scoring system for outcome prediction after spontaneous ICH.

The GVS: Glasgow Coma Score, Volume, & Site of Hemorrhage as a Simple Scoring System for Intracerebral Hemorrhage