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Croup
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===Severity=== {| class="wikitable" style="float: right; margin-left; text-align:center" |+ '''Westley score: Classification of croup severity'''<ref name=Croup09/><ref name=Peds99/> |- ! rowspan="2" |Feature ! colspan="6" |Number of points assigned for this feature |- !0 !1 !2 !3 !4 !5 |- | Chest wall<br /> retraction | style="width:50px;"|None | style="width:50px;"|Mild | style="width:50px;"|Moderate | style="width:50px;"|Severe | style="width:50px;"| | style="width:50px;"| |- | [[Stridor]] | None | With<br /> agitation | At rest | | | |- | [[Cyanosis]] | None | | | | With<br /> agitation | At rest |- | [[Level of consciousness|Level of<br />consciousness]] | Normal | | | | | Disoriented |- | Air entry | Normal | Decreased | Markedly decreased | | | |} The most commonly used system for classifying the severity of croup is the Westley score. It is primarily used for research purposes rather than in clinical practice.<ref name=Cherry08/> It is the sum of points assigned for five factors: level of consciousness, cyanosis, stridor, air entry, and retractions.<ref name=Cherry08/> The points given for each factor is listed in the adjacent table, and the final score ranges from 0 to 17.<ref name=Peds99/> * A total score of β€ 2 indicates ''mild'' croup. The characteristic barking cough and hoarseness may be present, but there is no stridor at rest.<ref name=Croup09/> * A total score of 3β5 is classified as ''moderate'' croup. It presents with easily heard stridor, but with few other signs.<ref name=Croup09/> * A total score of 6β11 is ''severe'' croup. It also presents with obvious stridor, but also features marked [[chest wall]] indrawing.<ref name=Croup09/> * A total score of β₯ 12 indicates impending [[respiratory failure]]. The barking cough and stridor may no longer be prominent at this stage.<ref name=Croup09/> 85% of children presenting to the emergency department have mild disease; severe croup is rare (<1%).<ref name=Croup09/>
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