Association of the ICH Score With Withdrawal of Life-Sustaining Treatment Over a 10-Year Period.

ABSTRACT:

Objective

The intracerebral hemorrhage (ICH) score was developed to enhance provider communication and facilitate early severity assessment. We examined the association of the ICH score with mortality and withdrawal of life-sustaining treatment (WLST) in a large, multicenter stroke registry, and evaluated temporal trends in these associations.

Methods

We identified ICH patients from the Florida Stroke Registry from 2013 to 2022. Outcomes were WLST and in-hospital mortality. ICH scores were grouped as 0-2, 3-4, and 5-6. Importance plots identified key predictors of WLST. Model performance was assessed using AUC-ROC for logistic regression and random forest, adjusted for relevant confounders. Secondary analyses compared outcomes between 2015-2018 and 2019-2022 using stratified

SUBMITTER: Massad N 

PROVIDER: S-EPMC12516225 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature