TABLE 25-1.
Westley Croup Score
| Symptom | Descriptor | Score |
|---|---|---|
| Stridor |
None | 0 |
| When agitated | 1 | |
| At rest | 2 | |
| Retractions |
None | 0 |
| Mild | 1 | |
| Moderate | 2 | |
| Severe | 3 | |
| Air entry |
Normal | 0 |
| Decreased | 1 | |
| Markedly decreased | 2 | |
| Cyanosis in room air |
None | 0 |
| With agitation | 4 | |
| At rest | 5 | |
| Level of consciousness |
Normal | 0 |
| Disoriented | 5 | |
| Total score | 0–17 | |
Mild croup: scores 1–2; moderate croup: scores 3–8; severe croup: scores >8.
From Westley C.R., Cotton E.K., Brooks J.G.: Nebulized racemic epinephrine by IPPB for the treatment of croup: a double-blind study. Am J Dis Child 1978; 132(5):484–7