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Calculator: Westley croup severity score (appropriate for use in children ≤6 years of age)


 Calculator: Westley croup severity score (appropriate for use in children ≤6 years of age)

 
Level of consciousness

Normal, including sleep (0 points)

 Disoriented (5 points)
Cyanosis

None (0 points)

 With agitation (4 points)

 At rest (5 points)
Stridor

None (0 points)

 With agitation (1 point)

 At rest (2 points)
Air entry

Normal (0 points)

 Decreased (1 point)

 Markedly decreased (2 points)
Retractions

None (0 points)

 Mild (1 point)

 Moderate (2 points)

 Severe (3 points)

 
Important: Inputs must be complete to perform calculation.

 
Total criteria point count:
 

 

 Westley croup severity score interpretation

 
Score Severity Description
0 to 2 Mild Occasional barky cough, no stridor at rest, mild or no retractions
3 to 7 Moderate Frequent barky cough, stridor at rest, and mild to moderate retractions
8 to 11 Severe Frequent barky cough, stridor at rest, marked retractions, and significant distress
12 to 17 Impending respiratory failure Depressed level of consciousness, stridor at rest, severe retractions, poor air entry, cyanosis, or pallor

 
Notes
  • Refer to the UpToDate topic reviews on croup for details on diagnosis and management.

 
Only digits 0 to 9 and a single decimal point (".") are acceptable as numeric inputs. Attempted input of other characters into a numeric field may lead to an incorrect result.

Information on this page may not appear correctly if printed.

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All information contained in and produced by the EBMcalc system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. Click here for full notice and disclaimer.

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