Modified Westley clinical scoring system for croup
The modified Westley clinical scoring system for croup
- Inspiratory stridor:
- Not present - 0 points
- When agitated/active - 1 point
- At rest - 2 points
- Intercostal recession:
- Mild - 1 point
- Moderate - 2 points
- Severe - 3 points
- Air entry:
- Normal - 0 points
- Mildly decreased -1 point
- Severely decreased - 2 points
- Cyanosis:
- None - 0 points
- With agitation/activity - 4 points
- At rest - 5 points
- Level of consciousness:
- Normal - 0 points
- Altered - 5 points
Total Possible Score 0-17:
- <4=mild croup, 4-6=moderate croup, >6=severe croup
Reference:
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