Release Notes:
Data Element
Version 2018B1
| Name: | Initial ICH Score Performed |
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| Collected For: |
CSTK-03 |
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| Definition: | Documentation of the first ICH score that was done at this hospital. The ICH Score is a clinical grading scale composed of factors related to a basic neurological examination (GCS), a baseline patient characteristic (age), and initial neuroimaging (ICH volume, IVH, infratentorial/supratentorial origin). Score documentation may range from 0 to 6. The purpose of this grading scale is to provide a standard assessment tool that can be easily and rapidly determined at the time of ICH presentation by physicians without special training in stroke neurology and that will allow consistency in communication and treatment selection in clinical care and clinical research.
| Component |
Criteria |
Points |
| GCS |
3-4 |
2 |
| |
5-12 |
1 |
| |
13-15 |
0 |
| ICH Volume (cc) |
>/=30cc |
1 |
| |
<30cc |
0 |
| Intraventricular Hemorrhage |
Yes |
1 |
| |
No |
0 |
| Infratentorial Origin |
Yes |
1 |
| |
No |
0 |
| Age |
>/=80 years old |
1 |
| |
<80 years old |
0 |
| Total ICH Score |
|
0-6 |
|
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| Question: | Was an initial ICH score done at this hospital? |
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| Format: |
| Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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|
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| Allowable Values: |
Y (YES) Initial ICH score was done at this hospital.
N (No) Initial ICH score was not done at this hospital, OR Unable to determine (UTD) from the medical record documentation.
|
|---|
| Notes for Abstraction: |
- The ICH score may be documented by the physician/APN/PA or nurse (RN).
- ICH score obtained by teleneurology and documented in the medical record, select 'YES'.
- If a total ICH score (i.e., sum of the component points) is documented, select ‘YES’.
- If components are scored but the total ICH score is not documented or left blank, select ‘NO’. Do not infer a total ICH score from documented component scores.
|
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| Suggested Data Sources: |
- Consultation notes
- Emergency department record
- History and physical
- Progress notes
- Admitting note
|
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| Additional Notes: |
|
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
|
None
|
Scoring methodologies other than the ICH Score |
|