Croup classification: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Croup}} | {{Croup}} | ||
{{CMG}} {{AE}} {{LRO}} | {{CMG}} {{AE}} {{LRO}} | ||
==Overview== | ==Overview== | ||
Croup is classified by severity of symptoms. The Westley Score system quantifies symptoms from a score of 0-5. The sum of the symptom score stratifies croup into mild, moderate, severe, or indicative of total [[Respiratory|respiratory failure]]. | |||
==Classification of Croup== | ==Classification of Croup== | ||
Croup is classified by severity of symptoms through the Westley score of assessing croup severity, demonstrated in the table below: | Croup is classified by severity of symptoms through the Westley score of assessing croup severity, demonstrated in the table below:<ref name="pmid19445760">{{cite journal |vauthors=Johnson D |title=Croup |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=19445760 |pmc=2907784 |doi= |url=}}</ref><ref name="pmid10629679">{{cite journal |vauthors=Klassen TP |title=Croup. A current perspective |journal=Pediatr. Clin. North Am. |volume=46 |issue=6 |pages=1167–78 |year=1999 |pmid=10629679 |doi= |url=}}</ref> | ||
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| style="background: #F5F5F5; padding: 5px;" | Decreased | | style="background: #F5F5F5; padding: 5px;" | Decreased | ||
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased | | style="background: #F5F5F5; padding: 5px;" | Markedly decreased | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
|} | |} | ||
The score is aggregated into a qualitative croup classification:<ref name="pmid19445760">{{cite journal |vauthors=Johnson D |title=Croup |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=19445760 |pmc=2907784 |doi= |url=}}</ref><ref name="pmid10629679">{{cite journal |vauthors=Klassen TP |title=Croup. A current perspective |journal=Pediatr. Clin. North Am. |volume=46 |issue=6 |pages=1167–78 |year=1999 |pmid=10629679 |doi= |url=}}</ref> | |||
{| style="font-size: 85%;" | |||
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Classification}} | |||
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Score}} | |||
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Features}} | |||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Mild''' | |||
| style="background: #F5F5F5; padding: 5px;" | ≤2 | |||
| style="background: #F5F5F5; padding: 5px;" | Characteristic barking [[cough]] and [[hoarseness]] | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Moderate''' | |||
| style="background: #F5F5F5; padding: 5px;" | 3-5 | |||
| style="background: #F5F5F5; padding: 5px;" | Cough, hoarseness, and [[stridor]] | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Severe''' | |||
| style="background: #F5F5F5; padding: 5px;" | 6-11 | |||
| style="background: #F5F5F5; padding: 5px;" | Cough, hoarseness, stridor, and visible [[chest]] [[Respiratory examination|indrawing]] | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Respiratory Failure''' | |||
| style="background: #F5F5F5; padding: 5px;" | ≥12 | |||
| style="background: #F5F5F5; padding: 5px;" | Failure of [[Respiratory system|respiratory system]] | |||
|} | |||
==References== | ==References== | ||
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[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Latest revision as of 17:30, 18 September 2017
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Croup Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Croup classification On the Web |
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American Roentgen Ray Society Images of Croup classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
Croup is classified by severity of symptoms. The Westley Score system quantifies symptoms from a score of 0-5. The sum of the symptom score stratifies croup into mild, moderate, severe, or indicative of total respiratory failure.
Classification of Croup
Croup is classified by severity of symptoms through the Westley score of assessing croup severity, demonstrated in the table below:[1][2]
| Feature | 0 | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|---|
| Chest wall retraction | None | Mild | Moderate | Severe | ||
| Stridor | None | With agitation | At rest | |||
| Cyanosis | None | With agitation | At rest | |||
| Level of consciousness | Normal | Disoriented | ||||
| Air entry | Normal | Decreased | Markedly decreased |
The score is aggregated into a qualitative croup classification:[1][2]
| Classification | Score | Features |
|---|---|---|
| Mild | ≤2 | Characteristic barking cough and hoarseness |
| Moderate | 3-5 | Cough, hoarseness, and stridor |
| Severe | 6-11 | Cough, hoarseness, stridor, and visible chest indrawing |
| Respiratory Failure | ≥12 | Failure of respiratory system |
References