Ross et al developed a score for grading congestive heart failure (CHF) in an infant. The authors are from Children's Hospital of Michigan and Wayne State University.
Parameters:
(1) volume of feeding in ounces
(2) number of minutes taken per feeding
(3) respiratory rate in breaths per minute
(4) heart rate in beats per minute
(5) respiratory pattern
(6) peripheral perfusion
(7) S3 or diastolic rumble
(8) distance of the liver edge below the right costal margin in cm
|
Parameter |
Finding |
Points |
|
volume of feeding |
> 3.5 ounces |
0 |
|
|
2.5 to 3.5 ounces |
1 |
|
|
< 2.5 ounces |
2 |
|
duration of feeding |
<= 40 minutes |
0 |
|
|
> 40 minutes |
1 |
|
respiratory rate |
< 50 breaths per minute |
0 |
|
|
50 to 60 breaths per minute |
1 |
|
|
> 60 breaths per minute |
2 |
|
heart rate |
< 160 beats per minute |
0 |
|
|
160 to 170 beats per minute |
1 |
|
|
> 170 beats per minute |
2 |
|
respiratory pattern |
normal |
0 |
|
|
abnormal |
1 |
|
peripheral perfusion |
normal |
0 |
|
|
decreased |
1 |
|
S3 or diastolic rumble |
absent |
0 |
|
|
present |
1 |
|
liver edge |
< 2 cm below costal margin |
0 |
|
|
2 to 3 cm below costal margin |
1 |
|
|
> 3 cm below costal margin |
2 |
total score =
= SUM(points for all 8 parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
• The higher the score the more severe the heart failure.
|
Total Score |
CHF Severity |
|
0 to 2 |
none |
|
3 to 6 |
mild |
|
7 to 9 |
moderate |
|
10 to 12 |
severe |
Purpose: To grade the severity of congestive heart failure (CHF) in an infant with heart disease using the score of Ross et al.
Specialty: Cardiology
Objective: laboratory tests, other testing, severity, prognosis, stage
ICD-10: I50,
