The Westley Croup Score is a clinical calculator used to assess the severity of croup in pediatric patients. Croup is a common respiratory condition in children that causes swelling of the larynx and trachea, leading to a characteristic "barking" cough. The Westley Croup Score helps clinicians to stratify the severity of the disease and guide treatment decisions.
The score is calculated based on five clinical parameters: level of consciousness, cyanosis, stridor, air entry, and retractions. Each parameter is scored from 0 to 5, with higher scores indicating more severe disease.
This calculator is specifically applicable to pediatric patients presenting with symptoms of croup. It is not suitable for use in adults or in children with other respiratory conditions. It should also not be used in children with known airway abnormalities or those who have ingested a foreign body, as these conditions can mimic the symptoms of croup but require different management strategies.
Reference
Wen-Chieh Yang, Jung Lee, Chun-Yu Chen et al. Westley score and clinical factors in predicting the outcome of croup in the pediatric emergency department. Pediatr Pulmonol. 2017 Oct;52(10):1329-1334.
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