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A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage: the Surgical Swedish ICH Score

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Harvard

Fahlström, A, Nittby Redebrandt, H, Zeberg, H, Bartek, J, Bartley, A, Tobieson, L, Erkki, M, Hessington, A, Troberg, E, Mirza, S, Tsitsopoulos, PP & Marklund, N 2019, 'A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage: the Surgical Swedish ICH Score', Journal of Neurosurgery, s. 1-8. https://doi.org/10.3171/2019.5.JNS19622

APA

Fahlström, A., Nittby Redebrandt, H., Zeberg, H., Bartek, J., Bartley, A., Tobieson, L., Erkki, M., Hessington, A., Troberg, E., Mirza, S., Tsitsopoulos, P. P., & Marklund, N. (2019). A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage: the Surgical Swedish ICH Score. Journal of Neurosurgery, 1-8. https://doi.org/10.3171/2019.5.JNS19622

CBE

Fahlström A, Nittby Redebrandt H, Zeberg H, Bartek J, Bartley A, Tobieson L, Erkki M, Hessington A, Troberg E, Mirza S, Tsitsopoulos PP, Marklund N. 2019. A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage: the Surgical Swedish ICH Score. Journal of Neurosurgery. 1-8. https://doi.org/10.3171/2019.5.JNS19622

MLA

Vancouver

Author

Fahlström, Andreas ; Nittby Redebrandt, Henrietta ; Zeberg, Hugo ; Bartek, Jiri ; Bartley, Andreas ; Tobieson, Lovisa ; Erkki, Maria ; Hessington, Amel ; Troberg, Ebba ; Mirza, Sadia ; Tsitsopoulos, Parmenion P ; Marklund, Niklas. / A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage : the Surgical Swedish ICH Score. I: Journal of Neurosurgery. 2019 ; s. 1-8.

Bibtex

@article{8efb9836fe3144a18c10d90ba6e676eb,
title = "A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage: the Surgical Swedish ICH Score",
abstract = "OBJECTIVE: The authors aimed to develop the first clinical grading scale for patients with surgically treated spontaneous supratentorial intracerebral hemorrhage (ICH).METHODS: A nationwide multicenter study including 401 ICH patients surgically treated by craniotomy and evacuation of a spontaneous supratentorial ICH was conducted between January 1, 2011, and December 31, 2015. All neurosurgical centers in Sweden were included. All medical records and neuroimaging studies were retrospectively reviewed. Independent predictors of 30-day mortality were identified by logistic regression. A risk stratification scale (the Surgical Swedish ICH [SwICH] Score) was developed using weighting of independent predictors based on strength of association.RESULTS: Factors independently associated with 30-day mortality were Glasgow Coma Scale (GCS) score (p = 0.00015), ICH volume ≥ 50 mL (p = 0.031), patient age ≥ 75 years (p = 0.0056), prior myocardial infarction (MI) (p = 0.00081), and type 2 diabetes (p = 0.0093). The Surgical SwICH Score was the sum of individual points assigned as follows: GCS score 15-13 (0 points), 12-5 (1 point), 4-3 (2 points); age ≥ 75 years (1 point); ICH volume ≥ 50 mL (1 point); type 2 diabetes (1 point); prior MI (1 point). Each increase in the Surgical SwICH Score was associated with a progressively increased 30-day mortality (p = 0.0002). No patient with a Surgical SwICH Score of 0 died, whereas the 30-day mortality rates for patients with Surgical SwICH Scores of 1, 2, 3, and 4 were 5%, 12%, 31%, and 58%, respectively.CONCLUSIONS: The Surgical SwICH Score is a predictor of 30-day mortality in patients treated surgically for spontaneous supratentorial ICH. External validation is needed to assess the predictive value as well as the generalizability of the Surgical SwICH Score.",
author = "Andreas Fahlstr{\"o}m and {Nittby Redebrandt}, Henrietta and Hugo Zeberg and Jiri Bartek and Andreas Bartley and Lovisa Tobieson and Maria Erkki and Amel Hessington and Ebba Troberg and Sadia Mirza and Tsitsopoulos, {Parmenion P} and Niklas Marklund",
year = "2019",
month = aug,
day = "23",
doi = "10.3171/2019.5.JNS19622",
language = "English",
pages = "1--8",
journal = "Journal of Neurosurgery",
issn = "0022-3085",
publisher = "American Association of Neurological Surgeons",

}

RIS

TY - JOUR

T1 - A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage

T2 - the Surgical Swedish ICH Score

AU - Fahlström, Andreas

AU - Nittby Redebrandt, Henrietta

AU - Zeberg, Hugo

AU - Bartek, Jiri

AU - Bartley, Andreas

AU - Tobieson, Lovisa

AU - Erkki, Maria

AU - Hessington, Amel

AU - Troberg, Ebba

AU - Mirza, Sadia

AU - Tsitsopoulos, Parmenion P

AU - Marklund, Niklas

PY - 2019/8/23

Y1 - 2019/8/23

N2 - OBJECTIVE: The authors aimed to develop the first clinical grading scale for patients with surgically treated spontaneous supratentorial intracerebral hemorrhage (ICH).METHODS: A nationwide multicenter study including 401 ICH patients surgically treated by craniotomy and evacuation of a spontaneous supratentorial ICH was conducted between January 1, 2011, and December 31, 2015. All neurosurgical centers in Sweden were included. All medical records and neuroimaging studies were retrospectively reviewed. Independent predictors of 30-day mortality were identified by logistic regression. A risk stratification scale (the Surgical Swedish ICH [SwICH] Score) was developed using weighting of independent predictors based on strength of association.RESULTS: Factors independently associated with 30-day mortality were Glasgow Coma Scale (GCS) score (p = 0.00015), ICH volume ≥ 50 mL (p = 0.031), patient age ≥ 75 years (p = 0.0056), prior myocardial infarction (MI) (p = 0.00081), and type 2 diabetes (p = 0.0093). The Surgical SwICH Score was the sum of individual points assigned as follows: GCS score 15-13 (0 points), 12-5 (1 point), 4-3 (2 points); age ≥ 75 years (1 point); ICH volume ≥ 50 mL (1 point); type 2 diabetes (1 point); prior MI (1 point). Each increase in the Surgical SwICH Score was associated with a progressively increased 30-day mortality (p = 0.0002). No patient with a Surgical SwICH Score of 0 died, whereas the 30-day mortality rates for patients with Surgical SwICH Scores of 1, 2, 3, and 4 were 5%, 12%, 31%, and 58%, respectively.CONCLUSIONS: The Surgical SwICH Score is a predictor of 30-day mortality in patients treated surgically for spontaneous supratentorial ICH. External validation is needed to assess the predictive value as well as the generalizability of the Surgical SwICH Score.

AB - OBJECTIVE: The authors aimed to develop the first clinical grading scale for patients with surgically treated spontaneous supratentorial intracerebral hemorrhage (ICH).METHODS: A nationwide multicenter study including 401 ICH patients surgically treated by craniotomy and evacuation of a spontaneous supratentorial ICH was conducted between January 1, 2011, and December 31, 2015. All neurosurgical centers in Sweden were included. All medical records and neuroimaging studies were retrospectively reviewed. Independent predictors of 30-day mortality were identified by logistic regression. A risk stratification scale (the Surgical Swedish ICH [SwICH] Score) was developed using weighting of independent predictors based on strength of association.RESULTS: Factors independently associated with 30-day mortality were Glasgow Coma Scale (GCS) score (p = 0.00015), ICH volume ≥ 50 mL (p = 0.031), patient age ≥ 75 years (p = 0.0056), prior myocardial infarction (MI) (p = 0.00081), and type 2 diabetes (p = 0.0093). The Surgical SwICH Score was the sum of individual points assigned as follows: GCS score 15-13 (0 points), 12-5 (1 point), 4-3 (2 points); age ≥ 75 years (1 point); ICH volume ≥ 50 mL (1 point); type 2 diabetes (1 point); prior MI (1 point). Each increase in the Surgical SwICH Score was associated with a progressively increased 30-day mortality (p = 0.0002). No patient with a Surgical SwICH Score of 0 died, whereas the 30-day mortality rates for patients with Surgical SwICH Scores of 1, 2, 3, and 4 were 5%, 12%, 31%, and 58%, respectively.CONCLUSIONS: The Surgical SwICH Score is a predictor of 30-day mortality in patients treated surgically for spontaneous supratentorial ICH. External validation is needed to assess the predictive value as well as the generalizability of the Surgical SwICH Score.

U2 - 10.3171/2019.5.JNS19622

DO - 10.3171/2019.5.JNS19622

M3 - Journal article

C2 - 31443074

SP - 1

EP - 8

JO - Journal of Neurosurgery

JF - Journal of Neurosurgery

SN - 0022-3085

ER -

ID: 58984108