RN Tools
B[I]RDs*
Presence of LPDs, LRDA, or BIPDs*
Prior seizure*
Sporadic epileptiform discharges*
Frequency >2.0 Hz for any periodic or rhythmic pattern*
Presence of “plus” features *
i.e., superimposed, rhythmic, sharp, or fast activity
2HELPS2B Score
0
points
Risk of seizure
Recommended length of additional cEEG monitoring
Estimates seizure risk in acutely ill patients undergoing continuous EEG (cEEG).
The 2HELPS2B Score is calculated by the addition of the selected points:
|
Variable |
Points |
|
|
B[I]RDs |
No |
0 |
|
Yes |
2 |
|
|
Presence of LPDs, LRDA, or BIPDs |
No |
0 |
|
Yes |
1 |
|
|
Prior seizure |
No |
0 |
|
Yes |
1 |
|
|
Sporadic epileptiform discharges |
No |
0 |
|
Yes |
1 |
|
|
Frequency >2.0 Hz for any periodic or rhythmic pattern |
No |
0 |
|
Yes |
1 |
|
|
Presence of “plus” features i.e., superimposed, rhythmic, sharp, or fast activity |
No |
0 |
|
Yes |
1 |
|
Interpretation:
|
2HELPS2B Score |
Risk of Seizure |
|
0 |
5% |
|
1 |
12% |
|
2 |
27% |
|
3 |
50% |
|
4 |
73% |
|
5 |
88% |
|
≥6 |
>95% |
Additional cEEG monitoring:
|
2HELPS2B Score |
Recommended Length of Monitoring |
|
0 |
0 hours |
|
1 |
12 hours |
|
≥2 |
24 hours |
Do you use the 2HELPS2B Score and want to contribute your expertise? Join our contributor team!
Do you use the 2HELPS2B Score and want to contribute your expertise? Join our contributor team!