Children's Lake Louise Acute Mountain Sickness Score (CLLS) for Preverbal Children

 

Children included: ages from 3 to 36 months

 

Components:

(1) fussiness score of Keefe et al

(2) Pediatric Symptoms Score of Yaron et al

 

Fussiness Score

 

Parameters:

(1) amount of unexplained fussiness in an infant

(2) intensity of the fussiness

 

Identifiable causes for fussiness include hunger, wet diaper, teething or pain from an injury.

 

Scoring along a continuous spectrum	Points
none	0
intermediate	3
extreme or maximal	6

 

fussiness score =

= (points for unexplained fussiness) + (points for fussiness intensity)

 

Interpretation:

• minimum fussiness score: 0

• maximum fussiness score: 12

 

Pediatric Symptoms Score

 

Parameters:

(1) eating

(2) playfulness

(3) sleeping

Parameter	Finding	Points
Rate how well your child has eaten today	normal	0
	slightly less than normal	1
	much less than normal	2
	vomiting or not eating	3
Rate how playful your child is today	normal	0
	playing slightly less	1
	playing much less than normal	2
	not playing	3
Rate the ability of your child to sleep today	normal	0
	slightly less or more than normal	1
	much less or much more than normal	2
	not able to sleep	3

 

pediatric symptom score =

= (points for eating) + (points for play) + (points for sleeping)

 

Interpretation:

• minimum score: 0

• maximum score: 9

 

Children's Lake Louise AMS Score

 

CLLS =

= (fuzziness score) + (pediatric symptoms score)

 

Interpretation:

• minimum score: 0

• maximum score: 21

 

Criteria for diagnosis of acute mountain sickness in preverbal children:

(1) CLLS >= 7, AND

(2) fussiness score >= 4, AND

(3) pediatric symptom score >= 3