Wang et al reported a risk score for predicting hydrocephalus in an adult after intracranial hemorrhage. The authors are from multiple institutions in China.
Hydrocephalus may occur in about 9% of adults with cerebral hemorrhage.
Patient selection: adult with intracranial hemorrhage
Parameters:
(1) Glasgow coma scale (GCS), from 3 to 15
(2) fever time in days
(3) CSF total protein multiplied by time, with CSF total protein in mg/L and time in days, with time presumably referring to time of onset
(4) age in years
Parameter |
Finding |
Points |
Glasgow coma scale |
< 6 |
10 |
|
6 to 8 |
6 |
|
>= 9 |
0 |
fever time |
0 to 4 days |
0 |
|
5 to 9 days |
5 |
|
> 9 days |
7 |
CSF TP multiplied by time |
< 9,601 |
0 |
|
9,601 to 14,000 |
3 |
|
> 14,000 |
6 |
age in years |
<= 60 years |
0 |
|
> 60 years |
5 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 28
Total Score |
Risk Category |
9 to 13 |
low |
14 to 20 |
intermediate |
>= 21 |
high |
Performance:
• The area under the ROC curve is 0.79.
Specialty: Neurology