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Yale Scale for Febrile Child 3 to 36 months
Aka: Yale Scale for Febrile Child 3 to 36 months, Yale Observation Scale for Febrile Children, Yale Observation Scale, Yale Scale for Child with Fever, Febrile Child Evaluation with Yale Scale
- See Also
- Fever Without Focus
- Fever Without Focus Management Birth to 3 Months
- Fever Without Focus Management 3 to 36 months
- Philadelphia Criteria for Febrile Infant 29-60 days
- Milwaukee Criteria for Febrile Infant 28-56 days
- Boston Criteria for Febrile Infant 28-89 days
- Fever Without Focus Red Flags
- Pediatric Sepsis
- Neonatal Sepsis
- Indications
- Assessment of febrile child ages 3-36 months
- Predicts serious infection (Occult Bacteremia)
- Quantifies "Toxic Appearance" in children
- Interpretation
- Score = 10
- Incidence serious illness: 2.7%
- Score = 11-15
- Incidence serious illness: 26%
- Score >16
- Incidence serious illness: 92.3%
- Scoring
- Quality of Cry
- Strong or No cry: 1
- Whimper or Sob: 3
- Weak cry, Moan, or high pitched cry: 5
- Reaction to parents
- Brief Cry or Content: 1
- Cries off and on: 3
- Persistent cry: 5
- State variation
- Awakens quickly: 1
- Difficult to awaken: 3
- No arousal or falls asleep: 5
- Color
- Pink: 1
- Acrocyanosis: 3
- Pale, Cyanotic, or Mottled: 5
- Hydration
- Eyes, skin, and mucus membranes moist: 1
- Mouth slightly dry: 3
- Mucus Membranes dry, eyes sunken: 5
- Social Response
- Alert or Smiles: 1
- Alert or brief smile: 3
- No smile, anxious, or dull: 5
- References
- McCarthy (1982) Pediatrics 70:802-9 [PubMed]
- McCarthy (1985) Pediatrics 76:167-71 [PubMed]
- McCarthy (1987) J Pediatr 110:26-30 [PubMed]