Patriota Gustavo Cartaxo, Silva-Júnior João Manoel da, Barcellos Alécio Cristino Evangelista Santos, Silva Júnior Joaquim Barbosa de Sousa, Toledo Diogo Oliveira, Pinto Fernando Campos Gomes, Rotta José Marcus
Departments of Neurosurgery, Hospital Servidor Público Estadual de São Paulo, São Paulo, SP, Brazil.
Arq Neuropsiquiatr. 2009 Sep;67(3A):605-8. doi: 10.1590/s0004-282x2009000400006.
Spontaneous intracerebral hemorrhage (SICH) still presents a great heterogeneity in its clinical evaluation, demonstrating differences in the enrollment criteria used for the study of intracerebral hemorrhage (ICH) treatment. The aim of the current study was to assess the ICH Score, a simple and reliable scale, determining the 30-day mortality and the one-year functional outcome. Consecutive patients admitted with acute SICH were prospectively included in the study. ICH Scores ranged from 0 to 4, and each increase in the ICH Score was associated with an increase in the 30-day mortality and with a progressive decrease in good functional outcome rates. However, the occurrence of a pyramidal pathway injury was better related to worse functional outcome than the ICH Score. The ICH Score is a good predictor of 30-day mortality and functional outcome, confirming its validity in a different socioeconomic populations. The association of the pyramidal pathway injury as an auxiliary variable provides more accurate information about the prognostic evolution.
自发性脑出血（SICH）在临床评估中仍存在很大的异质性，这体现在脑出血（ICH）治疗研究中所采用的纳入标准存在差异。本研究的目的是评估ICH评分，这是一种简单可靠的量表，用于确定30天死亡率和一年功能结局。连续收治的急性SICH患者被前瞻性纳入本研究。ICH评分范围为0至4分，ICH评分每增加一分，30天死亡率就会增加，良好功能结局率则会逐渐降低。然而，锥体束通路损伤的发生与功能结局较差的相关性比ICH评分更好。ICH评分是30天死亡率和功能结局的良好预测指标，证实了其在不同社会经济人群中的有效性。将锥体束通路损伤作为辅助变量进行关联分析，可提供有关预后演变的更准确信息。
