westley_croup_score: Westley Croup Score

In cliot: Clinical Indices and Outcomes Tools

Westley Croup Score

Description

Calculates the Westley Croup Score to assess the severity of croup (laryngotracheobronchitis) in children. The score evaluates five clinical signs: chest wall retractions, stridor, cyanosis, level of consciousness, and air entry.

Usage

westley_croup_score(chest_wall_retractions, stridor, cyanosis,
                    level_of_consciousness, air_entry)

Arguments

chest_wall_retractions	Numeric (0-3). 0: None. 1: Mild. 2: Moderate. 3: Severe.
stridor	Numeric (0-2). 0: None. 1: With agitation. 2: At rest.
cyanosis	Numeric (0-5). 0: None. 4: With agitation. 5: At rest.
level_of_consciousness	Numeric (0-5). 0: Normal. 5: Disoriented.
air_entry	Numeric (0-2). 0: Normal. 1: Decreased. 2: Markedly decreased.

Value

A list containing:

Westley_Score	The calculated total score (Range 0-17).
Severity_Classification	Clinical severity category (Mild <=2, Moderate 3-5, Severe 6-11, Impending Failure >=12).

References

Westley CR, Cotton EK, Brooks JG. Nebulized racemic epinephrine by IPPB for the treatment of croup: a double-blind study. Am J Dis Child. 1978;132(5):484-487. doi:10.1001/archpedi.1978.02120300040007

Examples

# Example 1: Moderate Croup
# Mild retractions (1), Stridor at rest (2),
#No cyanosis (0), Normal LOC (0), Decreased air entry (1)
# Score = 4
westley_croup_score(1, 2, 0, 0, 1)

# Example 2: Severe Croup
# Severe retractions (3), Stridor at rest (2),
#Agitated cyanosis (4), Normal LOC (0), Decreased air (1)
# Score = 10
westley_croup_score(3, 2, 4, 0, 1)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.