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. 2025 Aug 12;12:1622383. doi: 10.3389/fvets.2025.1622383

Table 1.

Scoring system used in clinical evaluation.

Variable Score Clinical correlate
Exercise tolerance 1 (Very good) Dog moved around with ease and was able to fully exercise
2 (Good) Dog moved around with ease and was not able to fully exercise; ability to run was reduced
3 (Moderate) Dog was less active than normal, moved around a few times per day, avoided long walks
4 (Poor) Dog was inactive and would only get up to eat, drink, or urinate
Respiratory effort 1 Normal
2 Mildly increased rate or effort
3 Moderately labored
4 Severe respiratory distress
Appetite 1 Increased
2 Normal
3 Decreased (2/3 normal)
4 Markedly decreased (<2/3 normal)
Coughing 1 None
2 Occasional (a few times a week)
3 Frequent (a few times a day)
4 Persistent (frequently during the day)