Tan Langmin,Deng Fen.Relevant factors for predicting 30-day mortality in intracerebral hemorrhage and clinical application of the new grading scale[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(01):79-84.
Tan Langmin,Deng Fen.Relevant factors for predicting 30-day mortality in intracerebral hemorrhage and clinical application of the new grading scale[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(01):79-84.DOI:
Objective To determine the risk factors for predicting the 30-day mortality of spontaneous intracerebral hemorrhage (ICH) and investigate the prognostic values of this new grading scale with 3 well-known grading scores of ICH (original ICH score
modified ICH score
and new ICH score). Methods A total of 152 ICH patients admitted in the departments of neurology and neurosurgery of the Second Affiliated Hospital of Chongqing Medical University from December 2011 to October 2013 were recruited in this study. Their clinical data
follow-up and prognostic data were collected. All the prognostic factors were analyzed with univariate analysis
and those obtained significant factors were further analyzed with logistic multiple regression analysis. Youden’ index and the area under the receiver operating characteristic (ROC) curve were used to evaluate the predictive value of the scales. Results There were 9 variables
including age
pulse pressure
history of coronary heart disease
venous blood glucose
white blood cell count
ICH volume
intraventricular haemorrhage (IVH)
Glasgow coma scale (GCS) score
and midline shift (P0.05). Logistic regression analysis showed that aged 80
lower GCS scores (3~4) and hyperglycaemia were remarkable in the prediction (P0.05). The original ICH score was slightly better than the other 2 scores in the sensitivity and specificity. Conclusion Aged 80
lower GCS scores (3~4) and hyperglycaemia are independent risk factors for predicting 30-day mortality in ICH patients. The original ICH score is superior to the new ICH score and modified ICH score in prediction of 30-day intracerebral hemorrhage.