To study the prognosis of patients with intracerebral bleed using intracerebral haemorrhage (ich) score, one year prospective observational study at tertiary care hospital, Belagavi

Abstract

Background Intracerebral haemorrhage (ICH) is a severe form of stroke characterized by bleeding into the brain parenchyma, leading to significant morbidity and mortality. The ICH score is a widely used prognostic tool that incorporates clinical and radiological factors such as the Glasgow Coma Scale (GCS), hematoma volume, age, intraventricular haemorrhage (IVH), and infratentorial origin to predict 30 day mortality. Although extensively validated in Western populations, its predictive accuracy in Indian settings, particularly in tertiary care hospitals, remains underexplored. This study evaluates the effectiveness of the ICH score in predicting mortality and functional outcomes in patients admitted to a tertiary care hospital in Belagavi, India. Objectives The primary objective of this study was to assess the prognosis of ICH patients using the ICH score and evaluate its predictive accuracy in determining 30 day mortality and functional outcomes. Secondary objectives included exploring the association between clinical and demographic characteristics and patient prognosis, identifying key predictors of mortality such as GCS score, hematoma size, IVH, and age, and investigating potential refinements in the scoring system or its application in specific populations.