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Related Subjects: |Subarachnoid Haemorrhage |Peri mesencephalic Subarachnoid haemorrhage |Haemorrhagic stroke |Cerebellar Haemorrhage |Putaminal Haemorrhage |Thalamic Haemorrhage |ICH Classification and Severity Scores
The SMASH-U classification is a simple and practical clinical tool for determining the etiology of intracerebral hemorrhage (ICH). Developed by researchers at Helsinki University Central Hospital, it categorizes ICH based on common causes, aiding in diagnosis and management.
The ICH Severity Score is a clinical grading scale used to predict mortality and functional outcome in patients with intracerebral hemorrhage. It incorporates several clinical and radiological factors.
Measure | Criteria | Score |
---|---|---|
Glasgow Coma Scale (GCS) | 3-4 | 2 |
5-12 | 1 | |
13-15 | 0 | |
Age | < 80 years | 0 |
≥ 80 years | 1 | |
ICH Volume > 30 mL | Yes | 1 |
No | 0 | |
Intraventricular Hemorrhage | Yes | 1 |
No | 0 | |
Infratentorial Origin of Hemorrhage | Yes | 1 |
No | 0 |
The total ICH Severity Score is calculated by summing the points from each category. Higher scores are associated with increased mortality.
Total Score | Estimated Mortality |
---|---|
0 | 0% |
1 | 13% |
2 | 26% |
3 | 72% |
4 | 97% |
5 | 100% |
The ICH Severity Score assists clinicians in prognostication and may help guide treatment decisions. It is important to consider individual patient factors when interpreting the score.