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Table 1 Summary of Literature Search: scores to prognosticate outcome after spontaneous intracerebral hemorrhage

From: Prognostication after intracerebral hemorrhage: a review

Study (First Author, publication year)

Score name

Geographic location of derivation cohort (N of score derivation cohort)

Score components

Outcome measure(s)

Timing of outcome measures (in original score publication)

Score performance measures (in original score publication)

Tuhrim et al., 1988 [11]

No name

USA (82)

GCS

ICH volume

Pulse pressure

Mortality

30 days

Expected-observed classification

Tuhrim et al., 1991 [12]

No name

USA (191)

GCS

ICH volume

IVH

Pulse pressure

Mortality

30 days

Expected-observed classification

Broderick et al., 1993 [13]

No name

USA (188)

GCS

ICH volume

Mortality

30 days

Sensitivity, specificity, PPV

Masé et al., 1995 [14]

No name

Italy (138)

GCS

ICH volume

IVH

Mortality

30 days

Expected-observed classification

Hemphill et al., 2001 [15]

ICH score

USA (152)

Age

GCS

ICH volume

Infratentorial origin

IVH

Mortality

30 days

Descriptive

Cheung et al., 2003 [16]

New ICH score

Hong Kong (142)

IVH

NIHSS

Pulse pressure

Subarachnoid extension

Temperature

Mortality

Favorable outcome (mRS < 3)

30 days

Sensitivity, specificity, PPV, NPV, Youden index

Godoy et al., 2006 [17]

Modified ICH Scores

(mICH-A, −B)

Argentina (153)

Age

Comorbidity

GCS

ICH volume

IVH

Infratentorial origin

Mortality

Favorable outcome (GOS 4–5)

30 days (mort.)

6 months (GOS)

Sensitivity, specificity, PPV, NPV, AUC, Youden index

Weimar et al., 2006 [9]

Essen ICH score

Germany (260)

Age

Level of consciousness

NIHSS

Functional recovery (BI > 90)

Favorable outcome (GOS 4–5, or BI > 50)

100 days

(functional recovery)

6 and 12 months (favorable outcome)

Sensitivity, specificity, AUC, external validation (independent cohort, n = 173)

Ruiz-Sandoval et al., 2007 [18]

ICH grading scale

Mexico (378)

Age

GCS

ICH volume (supratentorial or infratentorial)

IVH

Location

Mortality

In-hospital

30 days

AUC, R2

Cho et al., 2008 [19]

Modified ICH score (mICH score)

China (226)

GCS

ICH volume

IVH or hydrocephalus

Mortality

Favorable outcome (GOS 4–5 OR BI > 50)

6 months

12 months (both endpoints at both time points)

AUC, Youden index

Rost et al., 2008 [20]

FUNC score

USA (418)

Age

GCS

ICH location

ICH volume

Pre-ICH cognitive impairment

Functional independence (GOS 4–5)

90 days

AUC,

External validation (in independent patient cohort from same institution, n = 211)

Chuang et al., 2009 [21]

Simplified ICH score

Taiwan (293)

Age

Dialysis dependence

GCS

History of hypertension

Serum glucose

Mortality

30 days

Sensitivity, specificity, PPV, NPV, positive/negative likelihood ratios, AUC

Li et al., 2012 [22]

ICH Index (ICHI)

China (227)

Age

GCS

Glucose

WBC

Mortality

In-hospital

AUC

Ji et al., 2013 [23]

ICH functional outcome score (ICH-FOS)

China (1953)

Age

GCS

Glucose

ICH location

ICH volume

(supratentorial or infratentorial)

IVH

NIHSS

Mortality

Unfavorable outcome (mRS 3–6)

30 days

3, 6, and 12 months

Hosmer-Lemeshow test, AUC, external validation (in independent patient cohort from same institution, n = 1302)

Romero et al., 2013 [24]

Spot sign score (SSSc)

USA (131)

CT characteristics

Number of spot signs

Maximum axial dimension

Maximum attenuation

[ICH expansion]

Mortality

Unfavorable outcome

In-hospital (mortality)

3 months (mortality and unfavorable outcome)

Descriptive

Zis et al., 2015 [25]

Emergency department ICH score (EDICH)

Greece (191)

GCS

ICH location

ICH volume

INR

IVH

Mortality

30 days

Sensitivity, specificity, AUC

Gupta et al., 2017 [26]

ICH outomes project (ICHOP) scores (ICHOP3, ICHOP12)

USA (365)

APACHE II

GCS

ICH volume

NIHSS

Pre-morbid mRS

Unfavorable outcome (mRS 4–6)

3 and 12 months

AUC, McFadden R2, Cox&Snell R2, Nagelkerke R2

Sembill et al., 2017 [27]

Max ICH score

Germany (583)

Age

IVH

Lobar ICH volume

NIHSS

Non-lobar ICH volume

Oral anticoagulation

Unfavorable outcome (mRS 4–6)

12 months

AUC, Youden index

Braksick et al., 2018 [28]

ICH scoreFS

USA (274)

Age

FOUR score

ICH volume

Infratentorial origin

IVH

Mortality

30 days

AUC

  1. Abbreviations: AUC area under the curve (i.e. area under the receiver operating characteristic curve), ICH intracerebral hemorrhage, GCS Glasgow coma scale, IVH intraventricular hemorrhage, mRS modified Rankin scale, BI Barthel index, GOS Glasgow outcome scale, PPV positive predictive value, NPV negative predictive value, WBC white blood count, NIHSS National institute of health stroke scale