Table 1.
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 |