Modified. Rankin Scale in ICH from standard textbooks of medicine
Reading File
Finding Sources
Finding Sources
Searching PubMed
"intracerebral hemorrhage"[MeSH Terms] AND "modified Rankin Scale"
Searching the Web
modified Rankin Scale standard definitions 0 6 stroke official source
Finding Sources
Finding Sources
Reading Web Page
https://pmc.ncbi.nlm.nih.gov/articles/PMC5552200/
Reading File
Modified Rankin Scale (mRS) in Intracerebral Hemorrhage (ICH)
The modified Rankin Scale measures global functional outcome/disability after stroke, including ICH. It is usually assessed at 90 days in ICH studies. Lower scores indicate better outcome.
| mRS score | Functional status |
|---|---|
| 0 | No symptoms |
| 1 | No significant disability despite symptoms. Can carry out all usual activities. |
| 2 | Slight disability. Independent in personal affairs but unable to perform all previous activities. |
| 3 | Moderate disability. Needs some help but can walk without assistance. |
| 4 | Moderately severe disability. Cannot walk without assistance and cannot attend to bodily needs without help. |
| 5 | Severe disability. Bedridden, incontinent, and requires constant nursing care and attention. |
| 6 | Death |
Common outcome groupings in ICH
- mRS 0-2: Functional independence
- mRS 0-3: Often used as a favorable outcome threshold in ICH trials, since ICH often has more severe baseline disability than ischemic stroke.
- mRS 4-6: Dependent, severely disabled, or dead
- mRS 6: Mortality
A standard medical text summarizes the scale as: 0 no symptoms, 1 minimal symptoms without disability, 2 slight disability with independent function, 3 moderate disability requiring some assistance but independent walking, 4 requiring assistance for ambulation, 5 bedridden, and 6 dead. Fuster and Hurst's The Heart, 15th Edition, p. 817.
In ICH, mRS is an outcome scale, not an initial severity scale. For early assessment of ICH severity and mortality risk, clinicians commonly use the ICH Score alongside neurologic examination and imaging. A recent systematic review notes that mRS methods and interpretation can vary, so standardized assessment improves reliability (2025 systematic review).
This is a shared conversation. Sign in to Orris to start your own chat.