Conway and Littlewood developed a clinical score for evaluating a child with asthma. The authors are from St. James's University Hospital at Leeds.
(1) wheezing (or rhonchi)
(2) use of accessory muscles
(3) heart rate in beats per minute
only during expiration
during inspiration and expiration
audible without a stethoscope
use of accessory muscles
81 to 110
111 to 140
total score =
= SUM(points for all 3 parameters)
• minimum score: 0
• maximum score: 9
• The higher the score the more severe the episode.
• Bishop et al found the score imprecise but a reasonable quantitative measure of severity for an acute episode of asthma.
• One modification would be for nonlinear point assignment.
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