GuidelinesOther guideline
Hypoxic Ischaemic Encephalopathy (HIE) Score Chart
Management guidelines for students, interns and registrars on a variety of routine and emergency situations in our neonatal service at Tygerberg Children’s Hospital. Published in 2014.
Score | 0 | 1 | 2 | 3 | Day 1 | Day 2 | Day 3 | Day .. |
SIGN | ||||||||
TONE | Normal | Hyper | Hypo | Flaccid | ||||
LOC (Level of Consciousness) | Normal | Hyper alert Stare | Lethargic | Comatose | ||||
FITS | Normal | Infrequent <3/day | Frequent >2/day | |||||
POSTURE | Normal | Fisting Cycling | Strong distal flexion | Decerebrate | ||||
MORO | Normal | Partial | Absent | |||||
GRASP | Normal | Poor | Absent | |||||
SUCK | Normal | Poor | Absent ±Bites | |||||
RESP | Normal | Hyper-vent | Brief apnoea | IPPV (apnoea) | ||||
FONTANELLE | Normal | Full not tense | Tense | |||||
TOTAL SCORE PER DAY | ||||||||
Interpretation | Prognosis Good | Prognosis Guarded |
HIE Score Maximum | ≤ 10 | ≥ 16 |
HIE Score at Day 7 | 0 | > 10 |
From: CM Thompson et al. The value of a scoring system for hypoxic ischaemic encephalopathy in predicting neurodevelopment outcome. Acta Paediatr 86: 757-761. 1997