Meningitis Swedish Survival Score (MeningiSSS) of Kostenniemi et al

Description

Kostenniemi et al reported the Meningitis Swedish Survival Score (MeningiSSS) for evaluating a child with bacterial meningitis. This can help to identify a child who may require more aggressive management. The authors are from Umea University in Sweden.

Patient selection: child with bacterial meningitis

Parameters:

(1) level of consciousness

(2) seizures

(3) WBC count

(4) circulatory status

(5) respiratory distress (tachypnea based on age or need for respiratory support)

(6) duration of fever in days

(7) CSF glucose concentration in mmol/L

(8) CSF protein concentration in mg/L

Parameter	Finding	Points
level of consciousness	normal	0
	altered	2
seizures	no	0
	yes	2
WBC count	normal or elevated	0
	low	2
circulatory status	normal	0
	peripheral failure	1
	shock	2
respiratory distress	no	0
	yes	1
fever duration	<= 7 days	0
	> 7 days	1
CSF glucose	<= 0.6 mmol/L	1
	> 0.6 mmol/L	0
CSF protein	< 2,500 mg/L	0
	>= 2,500 mg/L	1

total score =

= SUM(points for all 8 parameters)

Interpretation:

• minimum score: 0

• maximum score: 12

• A score >= 6 is associated with high risk.

Performance:

• The area under the ROC curve is 0.79.

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Meningitis Swedish Survival Score (MeningiSSS) of Kostenniemi et al

Description

Specialty