Rizvi et al reported a bedside score for predicting 6-month mortality for a patient with tuberculous meningitis. The authors are from King George's Medical University in Lucknow, India.
MASH-P is an acronym for MBI, age, stage, hydrocephalus and papilledema.
Patient selection: tuberculous meningitis
Outcome: 6-month mortality
Parameters:
(1) modified Barthel index (MBI), from 0 to 20
(2) age in years
(3) British Medical Research Council (BMRC) stage (Thwaties et al)
(4) hydrocephalus
(5) papilledema
Parameter
Finding
Points
modified Barthel index
> 12
0
<= 12
4
age in years
<= 50 years
0
> 50 years
1
BMRC stage
I or II
0
III
3
hydrocephalus
absent
0
present
1
papilledema
absent
0
present
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
Total Score
6-Month Mortality
0
1.7%
1
2.7%
2
4.2%
3
6.5%
4
10%
5
15%
6
22%
7
31%
8
42%
9
54%
10
65%
Performance:
• The area under the ROC curve is 0.83.
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