A Comparative Study of Four Cerebral Hemorrhage Scoring Scales in Prognosis Assessment for Patients with Spontaneous Cerebral Hemorrhage

CHEN Qiong; YANG Shengzhe; WEI Qianqian; DU Danyu

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Journal of Hunan Normal University(Medical Science) ›› 2026, Vol. 23 ›› Issue (3) : 11-17.

A Comparative Study of Four Cerebral Hemorrhage Scoring Scales in Prognosis Assessment for Patients with Spontaneous Cerebral Hemorrhage

CHEN Qiong¹, YANG Shengzhe², WEI Qianqian¹, DU Danyu¹

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Abstract

Objective To compare the prognostic value of four scoring systems, including the original intracerebral hemorrhage score (OICH), modified intracerebral hemorrhage scale A (mICH-A), modified intracerebral hemorrhage scale B (mICH-B) and intracerebral hemorrhage grading scale (ICH-GS), for 30-day in-hospital prognosis in patients with spontaneous intracerebral hemorrhage (SICH). Methods A total of 218 patients with SICH were enrolled in this study. Clinical data of all patients were collected, and the scores of OICH, mICH-A, mICH-B and ICH-GS were calculated respectively. The 30-day in-hospital prognosis (death/survival) was regarded as the primary outcome indicator. Binary logistic regression analysis was performed to screen independent risk factors, and receiver operating characteristic (ROC) curve was adopted to compare the predictive efficacy of each single scale and their combined application. Results Binary logistic regression analysis showed that age (OR=1.055, 95%CI: 1.008-1.105, P=0.022), level of consciousness (OR=2.074, 95%CI: 1.101-3.908, P=0.024), intraventricular hemorrhage (OR=4.644, 95%CI: 1.256-17.194, P=0.021), OICH (OR=2.123, 95%CI: 1.006-4.481, P=0.048), mICH-A (OR=1.321, 95%CI: 1.014-1.721, P=0.039), mICH-B (OR=1.411, 95%CI: 1.042-1.912, P=0.026) and ICH-GS (OR=1.847, 95%CI: 1.237-2.761, P=0.003) were independent risk factors for poor 30-day in-hospital prognosis in SICH patients. ROC curve analysis indicated that the area under the curve (AUC) of mICH-B was higher than that of the other three single scales. The combined prediction model of four scales achieved the highest AUC (0.928, 95%CI: 0.886-0.959, P<0.001), with a sensitivity of 80.77% and a specificity of 96.35%. Conclusion mICH-B can be used as a clinical prognostic prediction tool for SICH patients. The combined application of the four scales can further improve the accuracy of 30-day prognosis prediction, so as to provide evidence for the optimization of clinical treatment strategies.

Key words

spontaneous intracerebral hemorrhage / original intracerebral hemorrhage score / modified intracerebral hemorrhage scale A / modified intracerebral hemorrhage scale B / intracerebral hemorrhage grading scale

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CHEN Qiong, YANG Shengzhe, WEI Qianqian, DU Danyu. A Comparative Study of Four Cerebral Hemorrhage Scoring Scales in Prognosis Assessment for Patients with Spontaneous Cerebral Hemorrhage[J]. Journal of Hunan Normal University(Medical Science). 2026, 23(3): 11-17

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