Rudolf et al modified the TBscore of Wejse et al to create the TBscore II. This is useful for monitoring patients with pulmonary tuberculosis. The authors are from multiple institutions in Denmark, Sweden, the United States and Guinea-Bissau.
Patient selection: adults >= 15 years of age
Parameters from the original score removed: night sweats, positive lung auscultation, pulse, temperature and hemoptysis.
Parameters:
(1) cough
(2) dyspnea
(3) chest pain
(4) anemia (anemic conjunctivae)
(5) body mass index
(6) mid-upper arm circumference in mm
Parameter
Finding
Points
cough
absent
0
present
1
dyspnea
absent
0
present
1
chest pain
absent
0
present
1
conjunctivae/anemia
normal
0
pale (anemic)
1
body mass index
>= 18 kg per sq meter
0
16 to 17.9 kg per sq meter
1
< 16 kg per sq meter
2
mid-upper arm circumference
>=220 mm
0
200 to 219 mm
1
< 200 mm
2
where:
• The normal mid-upper arm circumference would be affected by age and gender as well as malnutrition. Note that the same cutoff is used for men and women.
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximums score: 8
• The higher the score the more severe the tuberculosis.
Total Score
Severity Class
0 or 1
I
2 or 3
II
4 to 7
III
8
IV=
Performance:
• The area under the ROC curves ranged from 0.66 to 0.71 for therapeutic failure and from 0.68 to 0.73 for mortality.
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