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ICH score calculator

Calculate Hemphill and colleagues' original ICH score from the initial clinical and CT findings.

Calculator

One cubic centimetre is one millilitre.

ICH score (0 to 6)
0
Score components
ComponentPoints
GCS0.00
Age at least 80 years0.00
Volume at least 30 mL0.00
Intraventricular haemorrhage0.00
Infratentorial origin0.00

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How this calculator works

GCS contributes up to two points. Age, initial haematoma volume, ventricular extension and infratentorial origin contribute up to one each. This describes initial severity; it must not be used alone to limit treatment or predict an individual outcome. The result is an estimate for information only and is not medical advice.

Formula

GCS 3-4: 2 points; GCS 5-12: 1; GCS 13-15: 0. Add 1 each for age at least 80 years, ICH volume at least 30 mL, intraventricular haemorrhage and infratentorial origin.

Worked example

Age 80, GCS 10, volume 30 mL, ventricular blood and supratentorial origin give 1 + 1 + 1 + 1 + 0 = 4. Age 60, GCS 15, volume 20 mL and neither imaging feature give 0.

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Frequently asked questions

Does 30 mL count?

Yes. The volume threshold is inclusive, as is the age threshold of 80 years.

Which GCS should I use?

Use the presentation GCS, or the assessment after resuscitation as specified in the original instrument. Record factors that interfere with assessment.

Where is the mortality percentage?

This page reports the score. Historical group outcomes are not a reliable personalised prognosis, particularly when care practices differ.

Sources

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