Westley Croup Score

Assess croup severity

Westley Croup Score

Assess croup severity

Westley Croup Score

Assess croup severity

Westley Croup Score

Assess croup severity

1.Level of Consciousness?
2.Cyanosis?
3.Stridor?
4.Air Entry?
5.Retractions?
Created by on 12/11/2015

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About this Calculator

The severity of croup can be described by a clinical scoring system, the most extensively studied being the Westley croup score. No matter which system is used to assess severity, the two most critical features are the presence of chest wall retractions and stridor at rest.

The Westley croup score is made up of the following items from the clinical exam:

  • Level of consciousness: Normal, including sleep = 0; disoriented = 5
  • Cyanosis: None = 0; with agitation = 4; at rest = 5
  • Stridor: None = 0; with agitation = 1; at rest = 2
  • Air entry: Normal = 0; decreased = 1; markedly decreased = 2
  • Retractions: None = 0; mild = 1; moderate = 2; severe = 3

Mild croup is defined by a Westley croup score of ≤2. Moderate croup is defined by a Westley croup score of 3 to 5. Severe croup is defined by a Westley croup score of 6-11. A score of ≥12 indicates impending respiratory failure.

References

Westley CR et al.

Nebulized racemic epinephrine by IPPB for the treatment of croup: a double-blind study.

American Journal of Diseases of Children 1978, 132 (5): 484-7

The Westley Croup Score calculator is created by QxMD.

1. Level of Consciousness?

Created by on 12/11/2015

By using this site you acknowledge that you have read, understand, and agree to be bound by our terms of use and privacy policy. All content and tools are for educational use only, are not meant to be a substitute for professional advice and should not be used for medical diagnosis and/or medical treatment.

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