Walsh & Hoyt: Outcome of Patients with Intracerebral Hemorrhage

The mortality rate six months after spontaneous intracerebral hemorrhage ranges from 23% to 58%. A low score on the Glasgow Coma Scale, a large volume of the hematoma, and the presence of ventricular blood on the initial CT scan are factors that have been consistently identified as predictive of a high mortality rate. Broderick et al found that the mortality rate at one month was best predicted by determining the initial score on the Glasgow Coma Scale and the initial volume of the hematoma. In their study, patients who initially had a score of less than 9 on the Glasgow Coma Scale and a hematoma volume of more than 60 ml had a mortality rate of 90% at one month, whereas patients with a score of 9 or greater and a hematoma volume of less than 30 ml had a mortality rate of 17%.