🧠 ICH Score (Intracerebral Haemorrhage)
Predict 30-day mortality after intracerebral haemorrhage with the ICH score.
Clinical takeaway
Mortality rises steeply with the score.
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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
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.
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 | 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%
| GCS | 3–4 (2) |
|---|---|
| ICH volume ≥ 30 cm³ | Yes (+1) |
| Intraventricular haemorrhage | Yes (+1) |
| Infratentorial origin | Yes (+1) |
| Age ≥ 80 | Yes (+1) |
→ICH Score6/6
- Approx. 30-day mortality：100%
Frequently asked questions
- What is ICH Score (Intracerebral Haemorrhage)?
- Predict 30-day mortality after intracerebral haemorrhage with the ICH score.
- How is ICH Score (Intracerebral Haemorrhage) calculated? What is the core formula?
- GCS (0–2) + volume ≥ 30 cm³ (1) + IVH (1) + infratentorial (1) + age ≥ 80 (1). 0–6.
- When is ICH Score (Intracerebral Haemorrhage) used?
- Risk stratification and communication in ICH.
- What are the key clinical points for ICH Score (Intracerebral Haemorrhage)?
- Mortality rises steeply with the score. Aids prognostic discussion. Should not alone drive withdrawal of care.
- 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.
- How is ICH Score (Intracerebral Haemorrhage) calculated in practice? Can you show a worked example?
- 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%） Inputs: GCS 3–4 (2), ICH volume ≥ 30 cm³ Yes (+1), Intraventricular haemorrhage Yes (+1), Infratentorial origin Yes (+1), Age ≥ 80 Yes (+1) → Result: ICH Score 6 /6（Approx. 30-day mortality: 100%）