Rushton developed a simple score for evaluating a child with asthma. The author is from Yale University.
Parameters:
(1) degree of wheezing
(2) chest retractions
(3) cyanosis
|
Parameter |
Finding |
Points |
|
degree of wheezing |
none |
0 |
|
|
minimal |
1 |
|
|
mild |
2 |
|
|
moderate |
3 |
|
|
severe |
4 |
|
chest retractions |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
marked |
3 |
|
cyanosis |
none |
0 |
|
|
subtle, borderline |
1 |
|
|
definite, obvious |
2 |
asthma score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the more severe the asthma.
• A score >= 4 indicated a more severe asthmatic episode.
Limitations:
• The responses need to be consistent. For example, definite cyanosis would be unusual for responses of negative wheezing and negative chest retractions.
Specialty: Pulmonology
