Wainwright et al used a score for determining the degree of respiratory distress in infants with acute bronchiolitis. The authors are from multiple institutions in Quuensland, Australia.
Patient selections: infants <= 12 months of age
Parameters:
(1) respiratory effort
(2) oxygen saturation while breathing ambient air
(3) respiratory rate compared to that of a healthy infant of the same age
Parameter |
Finding |
Points |
---|---|---|
respiratory effort |
mild |
1 |
|
moderate |
2 |
|
severe |
3 |
oxygen saturation |
>= 95% |
0 |
|
90 to 94% |
1 |
|
< 90% |
2 |
respiratory rate |
< -3 SD below mean |
2 |
|
-2 to -3 SD below mean |
1 |
|
-1.99 SD below to +1.99 SD above mean |
0 |
|
+2 to +3 SD above mean |
1 |
|
> +3 SD above mean |
2 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 7
• The higher the score the greater the respiratory distress.
Total Score |
Overall Severity |
---|---|
0 or 1 |
mild |
2 or 3 |
moderate |
4 to 7 |
severe |
where:
• I would think a score of 0 would indicate no respiratory distress.
Purpose: To determine the degree of respiratory distress in an infant using the severity score of Wainwright et al.
Specialty: Pulmonology, Pedatrics
Objective: severity, prognosis, stage, complications, selection
ICD-10: P22,