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Better scoring for better care?

¹ Department of Neurology and Stroke Unit, Lille University Hospital, Lille, France
² Department of Neurology, Landesklinikum Donauregion, and Centre for Clinical Neurosciences, Donau-Universität Krems, Austria

Correspondence to:
Correspondence to:
Dr Charlotte Cordonnier
Department of Neurology and Stroke Unit, Hôpital Roger Salengro, Lille University Hospital, 59037 Lille Cedex, France;charlotte.cordonnier2@wanadoo.fr

Keywords: intracerebral haemorrhage; prognosis; rating scale

The first 150 words of the full text of this article appear below.

Intracerebral haemorrhage (ICH) has a very poor prognosis: according to population based data only 38% of patients survive the first year.¹ Recently, new therapeutic strategies were suggested,^2,3 but so many uncertainties remain concerning the management of ICH that we need better tools to identify appropriate candidates for appropriate strategies. In the paper by Weimar et al (see pages 601–5) a new prognostic score is presented.⁴ This rating scale for ICH is able within 24 h of onset to predict either mortality or the probability of complete recovery after 3 months. The model was formed using retrospective data from the German stroke data bank and was prospectively validated in 11 institutions. It seems simple to use and has a better positive predictive value than clinical opinion alone. However, the clinician’s prognosis of early death seems slightly more accurate and this is discussed as a possible bias . . . [Full text of this article]

Relevant Article

Development and validation of the Essen Intracerebral Haemorrhage Score

C Weimar, J Benemann, H-C Diener for the German Stroke Study Collaboration
J. Neurol. Neurosurg. Psychiatry 2006 77: 601-605. [Abstract] [Full Text] [PDF]

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