The impact of early nutritional and immune status assessment on all-cause mortality in patients with intracerebral hemorrhage in the intensive care unit: a retrospective study - Scorecard - MDSpire
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The impact of early nutritional and immune status assessment on all-cause mortality in patients with intracerebral hemorrhage in the intensive care unit: a retrospective study
Clinical Scorecard: Evaluating the Role of Early Nutritional and Immune Status Assessment on Overall Mortality in Intensive Care Unit Patients with Intracerebral Hemorrhage: A Retrospective Analysis
At a Glance
Category
Detail
Condition
Intracerebral Hemorrhage (ICH)
Key Mechanisms
Nutritional and immune status impact neurological outcomes and mortality.
Target Population
Patients with intracerebral hemorrhage in intensive care units.
Care Setting
Intensive Care Unit (ICU)
Key Highlights
30-day, 90-day, and 365-day mortality rates for ICH patients were 29.08%, 34.49%, and 41.84%, respectively.
The HALP score is a composite indicator integrating nutritional, immune, and thrombotic-inflammatory pathways.
Lower HALP scores correlate with higher mortality rates in ICH patients.
A risk prediction nomogram based on the HALP score was developed and validated.
The nomogram achieved an AUROC of 0.825 in the internal cohort.
Guideline-Based Recommendations
Diagnosis
Assess HALP score for prognostic evaluation in ICH patients.
Management
Utilize nutritional and immune status assessments in treatment planning for ICH patients.
Monitoring & Follow-up
Monitor HALP score to identify high-risk ICH patients.
Risks
Patients with HALP < 16.87 exhibit significantly higher mortality.
Patient & Prescribing Data
Adult patients with primary diagnosis of cerebral hemorrhage.
Nutritional and immune status should be prioritized in management strategies.
Clinical Best Practices
Incorporate HALP score assessment in routine evaluations of ICH patients.
Implement risk stratification tools to guide clinical decision-making.
