Predicting the Likelihood of Neurosurgical Intervention Prior to Transfer of Spontaneous Intracerebral Hemorrhage (ICH) to Tertiary Care Facilities Using Data From a Retrospective Cohort: The Likelihood of Neurosurgery Score (LoNS)

Jane Morris, Samantha Barry, Jared Sawyer, Duncan Birkbeck, Wendy Y. Craig, Madeleine M Puissant, Department of Neurology, Tufts University School of Medicine, MaineHealth Maine Medical Center Portland, Maine Medical Center, Tufts University School of Medicine - Maine Track, Business Intelligence Developer, Department of Neuroscience, MaineHealth Maine Medical Center Portland, Maine Medical Center, Brown University, Maine Health Institute for Research, Tufts University School of Medicine, Department of Emergency Department, MaineHealth Maine Medical Center Portland, Department of Emergency Medicine, Tufts University School of Medicine

The Neurohospitalist

Published online on October 28, 2025

Abstract

The Neurohospitalist, Volume 16, Issue 2, Page 158-165, April 2026.
BackgroundPatients with spontaneous intracranial hemorrhage (ICH) who present to non-tertiary care centers are often transferred to a facility with neurosurgical expertise without consideration of the likelihood of surgical intervention. At our ...