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. 2015 May 21;15:63. doi: 10.1186/s12887-015-0380-1

Table 1.

Clinical score

Clinical score 0 1 2 3
Respiratory rate <50 50 - 60 61-69 >70
Dyspnea Normal feeding Difficulty feeding 2 of the following: difficulty feeding, pallor, perioral cyanosis OR agitation. 2 of the following: cyanosis, stopped feeding OR drowsiness.
Use of accessory respiratory muscles None Subcostal or intercostal retractions 2 of the following: subcostal, intercostal, substernal retractions OR nasal flaring 3 of the following: subcostal, intercostal, substernal, suprasternal, supraclavicular retractions OR nasal flaring
Auscultation Normal breathing End-expiratory wheeze only OR crackles. Expiratory wheeze and/or crackles Inspiratory and expiratory wheeze OR diminished breath sounds OR both