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Thompson Scoring in HIE : Severity and Prognostic grading


Last modified: Friday, April 24, 2015
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 scoring HIE

Thompson score for HIE       

Score
Sign
0123
ToneNormalHyperHypoFlaccid
LOCNormalHyperalert, stareLethargicComatose
FitsNone< 3/day>2/day
PostureNormalFisting, cyclingStrong distal flexionDecerebrate
MoroNormalPartialAbsent
GraspNormalPoorAbsent
SuckNormalPoorAbsent ± bites
RespirationNormalHyperventilationBrief apneaIPPV (apnea)
FontanelleNormalFull, not tenseTense
Recording

Date








Time







Tone







LOC







Fits







Posture







Moro







Grasp







Suck







Respir







Fontanell







TOTAL








Maximum Score = 22

Interpretation:

  1. 1–10: mild HIE
  2. 11–14: moderate HIE
  3. 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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