Description

Phusoongnern et all reported a model for predicting the placement of a permanent CSF shunt in patients with cryptococcal meningitis.


Patient selection: cryptococcal meningitis

 

Outcome: placement of a permanent CSF shunt

 

Parameters:

(1) hydrocephalus

(2) initial cerebrospinal fluid opening pressure in cm H2O

(3) HIV status

 

Parameter

Finding

Points

hydrocephalus

absent

0

 

present

4.04

CSF opening pressure

<= 25 cm H2O

0

 

> 25 cm H2O

2.13

HIV status

negative

1.87

 

positive

0

 

X =

= SUM(points for all 3 parameters) - 3.85

 

probability of permanent CSF shunt =

= 1 / (1+EXP((-1) * X))


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