she_score [Neurosurgery Wiki]

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SHE Score (Swelling, Hemorrhage, Expansion Score)
The SHE Score is a prognostic tool used to assess the risk of neurological deterioration and poor outcomes in patients with [[intracerebral hemorrhage]] (ICH). It evaluates three key factors that contribute to secondary brain injury:

Components of the SHE Score
Swelling (S) – Perihematomal Edema (PHE)

0 points: Small or no edema
1 point: Moderate edema
2 points: Severe edema
Hemorrhage (H) – Volume of Intracerebral Hemorrhage (ICH)

0 points: < 30 mL
1 point: 30-60 mL
2 points: > 60 mL
Expansion (E) – Hematoma Expansion

0 points: No or minimal expansion
1 point: Moderate expansion
2 points: Significant expansion (> 6 mL or > 33% increase)
Total SHE Score: 0 to 6
Higher scores correlate with worse outcomes, increased mortality, and greater risk of neurological deterioration.
Used in clinical trials and ICU settings to guide treatment decisions.