Thompson score is based on features of HIE with a maximum possible score of 22. A score of 15 or more has shown a positive predictive
value of 92%, negative predictive value of 82%, sensitivity of 71% and specificity of 96% for
abnormal outcome at 12 months of age.
Thompson score for HIE
Score Sign | 0 | 1 | 2 | 3 |
---|---|---|---|---|
Tone | Normal | Hyper | Hypo | Flaccid |
LOC | Normal | Hyperalert, stare | Lethargic | Comatose |
Fits | None | < 3/day | >2/day | |
Posture | Normal | Fisting, cycling | Strong distal flexion | Decerebrate |
Moro | Normal | Partial | Absent | |
Grasp | Normal | Poor | Absent | |
Suck | Normal | Poor | Absent ± bites | |
Respiration | Normal | Hyperventilation | Brief apnea | IPPV (apnea) |
Fontanelle | Normal | Full, not tense | Tense |
Date
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Time
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Tone
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LOC
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Fits
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Posture
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Moro
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Grasp
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Suck
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Respir
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Fontanell
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TOTAL
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Maximum Score = 22
Interpretation:
Interpretation:
- 1–10: mild HIE
- 11–14: moderate HIE
- 15–22: severe HIE
Source: Thompson CM, Puterman AS, Linley LL, Hann FM, van der
Elst CW, Molteno CD, Malan AF. The value of a scoring system for hypoxic
ischaemic encephalopathy in predicting neurodevelopmental outcome. Acta
Paediatr 1997; 86: 757-61
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