HCP in Paediatric tumours

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Predicting HCP in paediatric tumours:

  • mCPPRH: modified Canadian Preoperative Prediction Rule for Hydrocephalus
    • Predictor
      Score
      Age < 2 years
      3
      Presence of transependymal edema
      1
      Moderate/severe hydrocephalus
      2
      Cerebral metastases
      3
      Preoperative estimated tumor diagnosis
      - Medulloblastoma
      1
      - Ependymoma
      1
      - Dorsal exophytic brainstem glioma
      1
      Total
      10
      Score
      Risk of Hydrocephalus at 6 Months
      0
      7%
      1
      11%
      2
      19%
      3
      29%
      4
      42%
      5
      56%
      6
      69%
      7
      80%
      8
      88%
      9
      93%
      10
      96%
      • Observed likelihood ratios of patients with a score dichotomized into:
        • Low risk (0–4): 0.737
        • High risk (5–10): 4.688