Open AccessThe max‐intracerebral hemorrhage score predicts long‐term outcome of intracerebral hemorrhage
Author(s) -
Suo Yue,
Chen WeiQi,
Pan YueSong,
Peng YuJing,
Yan HongYi,
Zhao XingQuan,
Liu LiPing,
Wang YiLong,
Liu GaiFen,
Wang YongJun
Publication year - 2018
Publication title -
cns neuroscience and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.403
H-Index - 69
eISSN - 1755-5949
pISSN - 1755-5930
DOI - 10.1111/cns.12846
Subject(s) - intracerebral hemorrhage , medicine , confidence interval , receiver operating characteristic , stroke (engine) , subarachnoid hemorrhage , mechanical engineering , engineering
Summary Aims Little is known about the performance of the maximally treated intracerebral hemorrhage (max‐ ICH ) score in predicting unfavorable long‐term functional outcome and death in patients with intracerebral hemorrhage ( ICH ) in China. We aimed to validate the performance of the max‐ ICH score and compared it with other recognized scores. Methods We derived data from the China National Stroke Registry ( CNSR ). Receiver‐operating characteristic ( ROC ) analysis and Hosmer‐Lemeshow test were used to measure the score performance. We compared the performance of max‐ ICH score with six recognized models, including the ICH score, ICH functional outcome score ( ICH ‐ FOS ), Essen‐ ICH score, modified intracerebral hemorrhage ( MICH ) score, intracerebral hemorrhage grading scale ( ICH ‐ GS ), and functional outcome ( FUNC ) score. Results A total of 2581 patients with spontaneous ICH were enrolled in the study. The max‐ ICH score was similar or superior to the six existing scores in predicting long‐term unfavorable functional outcome after ICH with good discrimination ( AUC 0.83, 95% confidence interval [ CI ] 0.81‐0.84) and calibration (Hosmer‐Lemeshow P = 0.19). For predicting death, the AUC of max‐ ICH was 0.81 (95% CI 0.79‐0.83). Conclusions 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.