Objective: To analyze the influencing factors of short-term prognosis in patients with hypertensive cerebral hemorrhage and the predictive effect of BAT score. Methods: A total of 618 patients with hypertensive intracerebral hemorrhage treated in our hospital from January 2016 to December 2020 were studied.Sixty-two patients who died within 28 days after surgery were assigned to the death group, and the remaining 556 patients who survived were assigned to the survival group. The risk factors of death within 28 days after surgery in patients with hypertensive intracerebral hemorrhage were analyzed, and the predictive value of BAT score for death within 28 days after surgery in patients with hypertensive intracerebral hemorrhage was analyzed by ROC curve. Results: Logistic multivariate analysis showed that Glasgow Coma Scale (GCS) score < 6, BAT score ≥4, and Computed Tomography (CT) score at 24h before surgery. The risk factors of death within 28 days after surgery in patients with hypertensive intracerebral hemorrhage (P < 0.05) were short onset time and complication 24h after surgery. ROC curve analysis showed that the area under ROC curve (AUC) for predicting death within 28 days after surgery of hypertensive intracranial hemorrhage by BAT score was 0.892 (P < 0.01), with a 95%CI of 0.789 ~ 0.932. The optimal cut-off value was 4 points, the sensitivity was 88.29%, and the specificity was 81.43%. Conclusions: GCS score 24h before surgery, BAT score, first CT distance to onset, and complications 24h after surgery were risk factors for death within 28d after surgery in patients with hypertensive intracerebral hemorrhage, and BAT score had better prognostic value for patients.