A new Modified Intracerebral Hemorrhage Score for treatment decisions in basal ganglia hemorrhage—a randomized trial

摘要: Objectives To develop a Modified Intracerebral Hemorrhage (MICH) score to determine optimal cut-offs for conservative treatment vs surgical intervention basal ganglia hemorrhage and predict outcomes. Design Prospective randomized trial. Setting A 1,720-bed medical center affiliated with university. Patients In all, 226 patients who presented at our hospital from 2001-2005. Interventions Group (n = 113) underwent endoscopic surgery; group B treatment. Score differences on the Glasgow Outcome Scale 1-yr Barthel Index were analyzed by chi-square test Student's t-tests. Cut-offs MICH scoring evaluated using receiver operating characteristic curves calculating Youden Index. The odds ratio was univariate, multivariate, multiple logistic regressions. Measurements main results cut-off point mortality > or 3 in which is 0.66 (sensitivity, 76.3%; specificity, 89.8%; area under curve, 0.897). positive negative predictive values 81.8% 86.3%, respectively. 6.87 (95% confidence interval, 3.13-14.5) scores 3. best good functional outcomes (Glasgow 4 index 55) 2. Conservative achieved better mean 0 1 than treatment, p Conclusions provides simple, reliable system decisions regarding may accurately recommended ICH low (0, 1) preserve neurologic function. Surgery midlevel obtain (MICH 2) reduce 4). At 5, there are no indications surgery.