Table 1. Pediatric Respiratory Assessment Measure Scorea.
Sign | Scoreb | |||
---|---|---|---|---|
0 | 1 | 2 | 3 | |
Suprasternal retractions | Absent | NA | Present | NA |
Scalene muscle contraction | Absent | NA | Present | NA |
Air entry | Normal | Decreased at bases | Widespread decrease | Absent or minimal |
Wheezing | Absent | Expiratory only | Inspiratory and expiratory | Audible without stethoscope or silent chest with minimal air entry |
Oxygen saturation, % | ≥95 | 92-94 | ≤91 | NA |
Oxygen saturation, Calgary, %c | ≥93 | 90-92 | ≤89 | NA |
Abbreviation: NA, not applicable.
Adapted from The Journal of Pediatrics, 2008;137(6):762-768, ©2008, with permission from Elsevier.18
Score represents the sum of the individual components (range, 0-12).18
Because Calgary is 1000 m above sea level, the saturation cutoffs were adjusted accordingly.21