Westley_Croup_Score_guideline v.1
Westley Croup Score quantifies croup severity.
To quantify croup severity.
Westley Croup Score mainly used for research, not clinically. Westley Croup Score variables and assigned points: 1. Chest wall retractions: None=0, Mild=1, Moderate=2, Severe=3 2. Stridor: None=0, With agitation=1, At rest=2 3. Cyanosis: None=0, With agitation=4, At rest=5 4. Level of consciousness: Normal=0, Disoriented=5 5. Air entry: Normal=0, Decreased=1, Markedly decreased=2 Westley Croup Score formula: 5 items using a Likert-type scale with zero representing the normal state. Points assigned as above. Westley Croup Score and Level of Severity: score 0-2= Mild score 3-5= Moderate score 6-11= Severe score 12-17= Impending Respiratory Failure Note: Remember that the Westley Croup Score is typically used for research purposes; management is typically based on clinical signs and symptoms: (1) Consider bacterial tracheitis in an ill-appearing child with croup-like symptoms. (2) The vast majority (>80%) of children presenting to the ED with croup have mild disease; severe croup is rare (<1%).
1. Westley CR, Cotton EK, Brooks JG. Nebulized racemic EPINEPHrine by IPPB for the treatment of croup: a double-blind study. Am J Dis Child. 1978 May;132(5):484-7. 2. Super DM, et al. A Prospective Randomized Double-Blind Study to Evaluate the Effect of Dexamethasone in Acute Laryngotracheitis. J Pediatr. 1989; 115: 323-9. 3. Klassen TP. Croup. A current perspective. Pediatr. Clin. North Am. 1999;46 (6): 1167–78. doi:10.1016/S0031-3955(05)70180-2. PMID 10629679.
openEHR-EHR-OBSERVATION.westley_croup_score
