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Monday, August 1, 2022

ICH Score

EMCritRACC
NeuroEMCrit - August 1, 2022 - By NeuroEMCrit Team (Casey & Neha)
In summary: 
  • The ICH score is a number that is helpful in conveying disease severity
  • Limitations include that it was determined from a cohort in which early withdrawal of care was allowed which biases towards the self-fufiling prophecy
  • Like many scores, it captures neither the context of injury nor patient specific factors such as frailty and reserve. 
  • Use it as part of the diagnostic evaluation, but not as a determination of who gets maximally aggressive care and who doesn’t!