Table 2.
Indicators and scores of BISCPM.
| Indicators | Scores (points) |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 1 | 2 | 3 | 4 | ||||||
| A | A1 | A1-1 | Movement | Obeys | Localized pain | Withdrawal | Abnormal flexion | None | ||
| A1-2 | Pupillary light reflex | Bilateral normal | Unilateral reflex | Bilateral abnormal | ||||||
| A1-3 | Pupil diameter | Bilateral normal | Unilateral myosis | Bilateral myosis | Unilateral mydriasis | Bilateral mydriasis | ||||
| A1-4 | Hematoma volume (mL) | ≤30 | >30 | >60 | >90 | >120 | ||||
| A1-5 | Midline shift distance (cm) | ≤0.5 | >0.5 | >1.0 | >1.5 | >2.0 | ||||
| A1-6 | Ambient cistern width (mm) | >3 | ≤3 | ≤1 | ||||||
| A1-7 | traumatic subarachnoid hemorrhage | None | Yes | |||||||
| A2 | A2-1 | High ICP (mmHg) | <15 | ≥15 | ≥18 | ≥22 | ≥25 | |||
| A2-2 | Low BP (mmHg) | >70 and < 110 | ≤70 | ≤55 | ≤40 | ≤25 | ||||
| A2-3 | Hypertension (mmHg) | >70 and < 110 | ≥110 | ≥130 | ≥150 | ≥170 | ||||
| A2-4 | Low CPP (mmHg) | >60 | ≤60 | ≤50 | ≤40 | ≤30 | ||||
| A2-5 | High fever (°C) | <38 | ≥38 | ≥39 | ≥40 | ≥41 | ||||
| A2-6 | Hyperglycemia (mmol/L) | <7.0 | ≥7.0 | ≥12.0 | ≥17 | ≥22 | ||||
| A2-7 | Tachycardia (bpm) | <120 | ≥120 | ≥130 | ≥140 | ≥150 | ||||
| A2-8 | Hypoxemia (kPa) | >8.0 | ≤8.0 | ≤7.0 | ≤6.0 | ≤5.0 | ||||
| A2-9 | Hypernatremia (mmol/L) | >130 and < 150 | ≥150 | ≥160 | ≥170 | ≥180 | ||||
| A2-10 | Hyponatremia (mmol/L) | >130 and < 150 | ≤130 | ≤120 | ≤110 | ≤100 | ||||
| A2-11 | Hyperkalemia (mmol/L) | >3.5 and < 5.5 | ≥5.5 | ≥6.5 | ≥7.5 | ≥8.5 | ||||
| A2-12 | Hypokalemia (mmol/L) | >3.5 and < 5.5 | ≤3.5 | ≤2.5 | ≤1.5 | ≤0.5 | ||||
| A2-13 | HSCa (mg/100 mL) | <1.5 | ≥1.5 | ≥2.5 | ≥3.5 | ≥4.5 | ||||
| B | Age (years) | 1 | 2 | 3 | 5 | 7 | 9 | |||
| ≤30 | 31–40 | 41–50 | 51–60 | 61–70 | >70 | |||||
| C | Medical history | 0 | 3 | |||||||
| None | Chronic diseaseb | |||||||||
☆The total score is the sum of score of part A, B and C.
HSC: high serum creatinine.
The chronic diseases include: Cardio vascular system: New York Heart Association Class Ⅳ. Liver: biopsy proven cirrhosis and documented portal hypertension; prior episodes of hepatic failure, encephalopathy, or coma. Respiratory system: chronic restrictive, obstructive, or vascular disease resulting in severe exercise restriction; or documented chronic hypoxia, hypercapnia, secondary polycythemia, severe pulmonary hypertension (>40 mmHg), or respiratory dependency. Kidney: receiving chronic dialysis. Immuno-compromised: The patient has received therapy that suppresses resistance to infection, e.g., immune-suppression, chemotherapy, radiation, long term or recent high dose steroids, or has a disease that is sufficiently advanced to suppress resistance to infection, e.g., leukemia, lymphoma, AIDS.