The croup score of Husby et al is a modification of that proposed by Westley et al (1978, above). Like other croup scoring systems, it uses clinical findings to grade the severity of the croup syndrome in the child, as an aid in making management decisions.
|
Parameter |
Finding |
Points |
|
cough |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
color |
none |
0 |
|
|
central cyanosis on room air |
2 |
|
|
cyanosis after administration of oxygen |
4 |
|
stridor |
none |
0 |
|
|
audible with but not without a stethoscope |
2 |
|
|
audible without the use of a stethoscope |
4 |
|
dyspnea |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
retractions |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
Examination specified:
(1) infant or child is evaluated in the sitting position
(2) stridor is assessed with and without the use of a stethoscope
(3) retractions are assessed at jugulum, supraclavicular, intercostal and subcostal sites
(4) color assessed as cyanosis in room air or after administration of oxygen (but FIO2 unspecified)
Examination unclearly specified:
(1) cough
(2) dyspnea
croup score =
= (points for cough) + (points for cyanosis) + (points for stridor) + (points for dyspnea) + (points for retractions)
Interpretation:
• minimum score 0
• maximum score 17
Specialty: Pulmonology, Pedatrics, Infectious Diseases
