The Bandim Tuberculosis Score (TBscore) is a clinical severity score for a patient with tuberculosis in a resource-limited community. The score was developed at the Bandim Health Project in Guinea-Bissau.
Patient selection: tuberculosis (? adults, since arm circumference would have less meaning in children)
Symptoms:
(1) cough
(2) hemoptysis
(3) dyspnea
(4) chest pain
(5) night sweats
Signs:
(1) anemia
(2) heart rate < 90 beats per minute
(3) positive findings on lung auscultation
(4) body temperature > 37°C
(5) body mass index in kg per square meter
(6) mid upper arm circumference (MUAC) in mm
Parameter
Finding
Points
cough
no
0
yes
1
hemoptysis
no
0
yes
1
dyspnea
no
0
yes
1
chest pain
no
0
yes
1
night sweats
no
0
yes
1
anemia
no
0
yes
1
heart rate
>= 90 beats per minute
0
< 90 beats per minute
1
positive lung auscultations
no
0
yes
1
body temperature
<= 37°C
0
> 37°C
1
body mass index
>= 18 kg per sq m
0
16 to 17.99
1
< 16
2
MUAC
>= 220 mm
0
200 to 219.99
1
< 200 mm
2
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 13
Total Score
Severity Class
0 to 5
I
6 or 7
II
8 to 13
III
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