ICH Score Calculator
Calculate intracerebral hemorrhage severity and 30-day mortality prediction
Calculate ICH Score
Points: 0 (<80 years = 0 points)
Points: 0 (13-15 = 0 points)
GCS range: 3 (deep unconsciousness) to 15 (normal)
Points: 0 (<30 mL = 0 points)
Volume estimated from CT measurements
Points: 0 (No = 0 points)
Points: 0 (No = 0 points)
Example Calculation
82-Year-Old Patient with ICH
Clinical Presentation:
• Age: 82 years old
• Glasgow Coma Scale: 12 points
• ICH Volume: 24 mL (from CT scan)
• Intraventricular bleeding: Present
• Infratentorial origin: No
ICH Score Calculation
• Age ≥80: 1 point
• GCS 5-12: 1 point
• Volume <30 mL: 0 points
• Intraventricular: 1 point
• Infratentorial: 0 points
Total ICH Score: 3 points (72% 30-day mortality)
ICH Score & Mortality
30-day mortality rates
ICH Risk Factors
Hypertension (most common)
Anticoagulant therapy
Amyloid angiopathy
Arteriovenous malformations
Brain tumors
Trauma
Medical Disclaimer: This calculator is for educational purposes only and should not replace professional medical assessment. The ICH Score should be used by trained healthcare professionals as part of comprehensive patient evaluation. Always consult with medical professionals for clinical decisions. This tool estimates mortality risk but should not be the sole basis for treatment decisions. In emergency situations, seek immediate medical attention.
Understanding the ICH Score
What is the ICH Score?
The ICH (Intracerebral Hemorrhage) Score is a clinical grading scale developed by Hemphill et al. in 2001 to predict 30-day mortality in patients with spontaneous intracerebral hemorrhage. It uses five easily obtainable clinical and radiographic variables.
Clinical Applications
- •Prognosis estimation for patients and families
- •Treatment decision-making
- •Research stratification
- •Quality improvement initiatives
- •Early goals of care discussions
Score Components
Age (0-1 points)
≥80 years = 1 point; <80 years = 0 points
GCS (0-2 points)
<5 = 2 points; 5-12 = 1 point; 13-15 = 0 points
ICH Volume (0-1 points)
≥30 mL = 1 point; <30 mL = 0 points
Location (0-2 points)
Intraventricular = 1 point; Infratentorial = 1 point
Understanding ICH Terminology
Intraventricular Hemorrhage
Bleeding that extends into the brain's ventricular system (fluid-filled cavities). Associated with higher mortality due to potential for hydrocephalus and increased intracranial pressure.
Infratentorial Origin
Hemorrhage originating below the tentorium cerebelli, involving the brainstem or cerebellum. These locations are associated with higher mortality due to proximity to vital structures.
Important Limitations
- • Score validated primarily for spontaneous ICH, not traumatic hemorrhage
- • Should not be used as sole criterion for withdrawal of care
- • Individual patient factors may influence outcomes beyond score prediction
- • Early scores may be less reliable due to potential hematoma expansion