max-ICH Score (Intracerebral Hemorrhage)
Scores the max-ICH score (0 to 9) for spontaneous intracerebral hemorrhage from the NIHSS, age and CT findings.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- NIHSS score
- 15 points
- Age
- 76 years
- Hematoma location
- Nonlobar (any location that is not lobar)
- Hematoma volume
- 12 mL
- Intraventricular hemorrhage
- No
- Taking oral anticoagulation
- No
Result: max-ICH score 5 of 9: in maximally treated patients at the derivation center, 5-year survival was 32% at this score.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- NIHSS score
- Age
- Hematoma location
- Hematoma volume
- Intraventricular hemorrhage
- Taking oral anticoagulation
How this is calculated
Citation
Sembill JA, Gerner ST, Volbers B, et al. Severity assessment in maximally treated ICH patients: the max-ICH score. Neurology 2017;89(5):423-431. Items as tabulated by Schmidt FA et al, Neurology 2018; survival from Mrochen A et al, Ann Clin Transl Neurol 2025. Read the sources: Sembill 2017 ↗, Schmidt 2018 ↗, Mrochen 2025 ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.