Pulmonology Book


Clinical Severity Scoring System Tool

Aka: Clinical Severity Scoring System Tool
  1. Indications
    1. Assess Severity in Bronchiolitis
  2. Criteria
    1. Respiratory Rate
      1. Score 0: Respiratory Rate <30/min
      2. Score 1: Respiratory Rate 30-45/min
      3. Score 2: Respiratory Rate 46-60/min
      4. Score 3: Respiratory Rate >60/min
    2. Wheezing
      1. Score 0: None
      2. Score 1: End-Expiratory Wheezes on auscultation
      3. Score 2: Inspiratory and Expiratory Wheezes on auscultation
      4. Score 3: Audible inspiratory and Expiratory Wheezes heard without a stethoscope
    3. Cyanosis
      1. Score 0: None
      2. Score 1: Perioral Cyanosis with crying
      3. Score 2: Perioral Cyanosis at rest
      4. Score 3: Generalized Cyanosis at rest
    4. Accessory Muscle Use
      1. Score 0: None
      2. Score 1: Mild intercostal retractions
      3. Score 2: Moderate intercostal retractions
      4. Score 3: Moderate to severe intercostal retractions with head bobbing or tracheal tug
  3. References
    1. Duarte-Dorado (2013) J Asthma 50(10): 1056-61 [PubMed]

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