TABLE 2.

Risk scoring tool for infants born at 33 to 35 completed weeks’ gestational age in Canada

Risk factor	Yes	No
Birth month November, December or January	25	0
Subject or siblings attend daycare	17	0
>5 individuals in the home, including the subject	13	0
SGA (birth weight <10% for gestational age)	12	0
Family history without eczema	12	0
Male sex	11	0
>1 smoker in the household	10	0
Total score*/100

Adapted from reference 115.

^*Eligible to receive palivizumab if total risk score is from 49 to 100, based on provincial guidelines and expert panels (96): low risk (0 to 48), moderate risk (49 to 64) and high risk (65 to 100). SGA Small for gestational age