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Croup Score
Aka: Croup Score, Clinical Croup Score, Westley Croup Score, Downes Croup Score
- See Also
- Croup
- Indications
- Laryngotracheal Bronchitis (Croup) Evaluation
- Criteria: Protocol 1 (Westley)
- Interpretation
- Score <= 2 Mild croup
- Score 3 - 7 Moderate croup
- Score 8 - 11 Severe croup
- Score >=12 Impending Respiratory Failure
- Level of Consciousness
- Normal: 0
- Disoriented: 5
- Cyanosis
- None: 0
- With Agitation: 4
- At Rest: 5
- Stridor
- None: 0
- With Agitation: 1
- At Rest: 2
- Air Entry
- Normal: 0
- Decreased: 1
- Marked: 2
- Retractions
- None: 0
- Mild: 1
- Moderate: 2
- Severe: 3
- References
- Westley (1978) Am J Dis Child 132(5): 484-7 [PubMed]
- Criteria: Protocol 2 (Downes)
- Interpretation
- Score 4 or above: Moderate airway obstruction
- Score 7 or above: Impending Respiratory Failure
- Especially if PaCO2 >45mmHg and paO2 <70 mmHg in room air
- Cyanosis
- Score 0: None
- Score 1: In room air
- Score 2: Despite 40% FIO2
- Inspiratory breath sounds
- Score 0: None
- Score 1: Harsh breath sounds with rhonchi
- Score 2: Delayed breath sounds
- Stridor
- Score 0: None
- Score 1: Inspiratory Stridor
- Score 2: Inspiratory and expiratory Stridor, or Stridor at rest
- Cough
- Score 0: None
- Score 1: Hoarse cry
- Score 2: Barky cough
- Retractions and nasal flaring
- Score 0: None
- Score 1: Nasal flaring and suprasternal retractions
- Score 2: Subcostal and intercostal retractions (in addition to nasal flaring and suprasternal retractions)
- References
- Downes (1975) Anesthesiology 43:238-50 [PubMed]