Croup Score

Aka: Croup Score, Clinical Croup Score

1. See Also
   1. Croup
2. Indications
   1. Laryngotracheal Bronchitis (Croup) Evaluation
3. Criteria: Protocol 1 (Downes)
   1. Score 4 or above: Moderate airway obstruction
   2. Score 7 or above: Impending respiratory failure
      1. Especially if PaCO2 >45mmHg and paO2 <70 mmHg in room air
   3. Cyanosis
      1. Score 0: None
      2. Score 1: In room air
      3. Score 2: Despite 40% FIO2
   4. Inspiratory breath sounds
      1. Score 0: None
      2. Score 1: Harsh breath sounds with rhonchi
      3. Score 2: Delayed breath sounds
   5. Stridor
      1. Score 0: None
      2. Score 1: Inspiratory Stridor
      3. Score 2: Inspiratory and expiratory Stridor, or Stridor at rest
   6. Cough
      1. Score 0: None
      2. Score 1: Hoarse cry
      3. Score 2: Barky cough
   7. Retractions and nasal flaring
      1. Score 0: None
      2. Score 1: Nasal flaring and suprasternal retractions
      3. Score 2: Subcostal and intercostal retractions (in addition to nasal flaring and suprasternal retractions)
   8. References
      1. Downes (1975) Anesthesiology 43:238-50
4. Criteria: Protocol 2
   1. Score >3-4 consistent with moderate croup
   2. Level of Consciousness
      1. Normal: 0
      2. Disoriented: 5
   3. Cyanosis
      1. None: 0
      2. With Agitation: 4
      3. At Rest: 5
   4. Stridor
      1. None: 0
      2. With Agitation: 1
      3. At Rest: 2
   5. Air Entry
      1. Normal: 0
      2. Decreased: 1
      3. Marked: 2
   6. Retractions
      1. None: 0
      2. Mild: 1
      3. Moderate: 2
      4. Severe: 3