Title
Validation of the ICH score and ICH-GS in a Peruvian surgical cohort: a retrospective study
Date Issued
01 February 2022
Access level
metadata only access
Resource Type
journal article
Author(s)
Publisher(s)
Springer Science and Business Media Deutschland GmbH
Abstract
The intracerebral hemorrhage (ICH) score and the ICH-grading scale (ICH-GS) are mortality predictor tools developed predominantly in conservatively treated ICH cohorts. We aimed to compare and evaluate the external validity of both models in predicting mortality in patients with ICH undergoing surgical intervention. A retrospective review of all patients presenting with spontaneous ICH admitted to a Peruvian national hospital between January 2018 and March 2020 was conducted. We compared the area under the receiver operating characteristic curve (AUC) for the ICH score and ICH-GS for in-hospital, 30-day, and 6-month mortality prediction. The research protocol was approved by the Institutional Review Board. A total of 73 patients (median age 62 years, 56.2% males) were included in the study. The mean ICH and ICH-GS scores were 2.5 and 8.7, respectively. In-hospital, 30-day, and 6-month mortality were 37%, 27.4%, and 37%, respectively. The AUC for in-hospital, 30-day, and 6-month mortality was 0.69, 0.71, and 0.69, respectively, for the ICH score and 0.64, 0.65, and 0.68, respectively, for the ICH-GS score. In this study, the ICH score and ICH-GS had moderate discrimination capacities to predict in-hospital, 30-day, and 6-month mortality in surgically treated patients. Additional studies should assess whether surgical intervention affects the discrimination of these prognostic models in order to develop predictive scores based on specific populations.
Start page
763
End page
770
Volume
45
Issue
1
Language
English
OCDE Knowledge area
Cirugía
Neurología clínica
Cuidado crítico y de emergencia
Subjects
Scopus EID
2-s2.0-85110847967
PubMed ID
Source
Neurosurgical Review
ISSN of the container
03445607
Sources of information:
Directorio de Producción Científica
Scopus