ROLE AND VALIDITY OF ICH SCORING IN PRIMARY INTRACEREBRAL HAEMORRHAGE PATIENTS FOR PREDICTION OF MORTALITY AND FUNCTIONAL OUTCOMES IN 30 DAYS TO 1 YEAR FOLLOW UP

Sarata Chandra Singh, Sashmi Prabha Sethi, Mamta Singh, Ravi Ranjan Kindo

Abstract


Primary ICH is a spontaneous brain haemorrhage mainly due to hypertension and atherosclerosis having higher mortality and morbidity. The aim of the study was to find out the role and validity of ICH scoring in primary ICH patients for prediction of mortality and funtional outcomes in 30 days to 1 year follow up. A prospective observational cohort study was conducted in 100 Primary Intracerebral hemorrhage patients who were physically examined and routinely investigated  along with CT scan or MRI to locate the area of stroke and ICH volume and were followed up daily during the hospital stay and regularly thereafter until 30 days and 1 year in whom Functional outcomes were determined by modified Rankin’s scale. The mortality and the major disability dependency was higher in high ICH score with p<0.001, p<0.001 and p<0.001 for mortality and p<0.001, p<0.03, p<0.003 for major disability dependency in hospitalized patient , 30-day and 1 year follow up respectively. The ICH Score is a valid clinical grading scale and good predictor of mortality and functional outcomes

Keywords


ICH score, ICH , CVA, MRS score

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