Table 1.
Respiratory distress assessment instrument*
| N of points | ||||||
|---|---|---|---|---|---|---|
| Variable | 0 | 1 | 2 | 3 | 4 | Maximum points |
| Wheezing | ||||||
| Expiratory | None | End | 1-2 (1/2nd expiration) | 3-4 (3/4th expiration) | All | 4 |
| Inspiratory | None | Part | All | NA | NA | 2 |
| Location | None | Segmental ≤ 2-4th lung fields | Diffuse ≥ 3-4th lung fields | NA | NA | 2 |
| Retractions | ||||||
| Supraclavicular | None | Mild | Moderate | Marked | NA | 3 |
| Intercostal | None | Mild | Moderate | Marked | NA | 3 |
| Subcostal | None | Mild | Moderate | Marked | NA | 3 |
Definition of abbreviation: NA, not applicable. *Within each variable the subscores are summed to give a total score. The maximum total score for wheezing is 8, and for retraction is 9.