The FUNC score is a validated tool for identifying patients who are likely to achieve functional independence (mRS ≤2) at 90 days following primary ICH.
Recovery Sentinel Probe
Construct the 5-part FUNC profile to determine the statistical probability of functional independence at 90 days following a primary intracerebral haemorrhage.
Guidelines & Evidence
Clinical Details
Section 1
When to Use
When to Use
Predicting likelihood of functional independence at 90 days after spontaneous ICH.
Functional independence defined as Glasgow Outcome Scale (GOS) 4 or 5.
Decision support for long-term rehabilitation potential.
Used alongside the ICH Score to provide a complete prognostic picture (Survival + Quality of Life).
Section 2
Formula & Logic
Scoring Variables
Variable
Scoring
Age
< 70 (2), 70–79 (1), ≥ 80 (0)
Admission GCS
≥ 13 (2), 9–12 (1), ≤ 8 (0)
ICH Location
Lobar (2), Deep (1), Infratentorial (0)
ICH Volume (cm³)
< 30 (2), 30–60 (1), > 60 (0)
Pre-ICH Cognition
No impairment (1), Impaired (0)
Total Score Range
0–11. Higher scores indicate a higher probability of functional independence.
Section 3
Pearls/Pitfalls
Independence vs. Survival
While the ICH Score is the gold standard for survival, the FUNC score is superior for predicting who will actually "get back to their life." A key inclusion is pre-morbid cognitive status, acknowledging that patients with pre-existing decline have significantly less neuroplasticity for recovery.
Section 4
Evidence Appraisal
Primary Reference
Prediction of functional outcome in patients with primary intracerebral hemorrhage: the FUNC score
