Criteria

Clinical scoring system for assessing the degree of respiratory distress in the newborn[51]

In infants with respiratory distress, respiratory distress syndrome (RDS) scores should be assessed on an hourly basis after admission to the neonatal intensive care unit (NICU).

  • Infants with RDS scores <4 for over 2 hours usually resolve without any problem.

  • Infants with scores of 4 to 6 have mild respiratory distress.

  • Infants with scores >6 will develop severe respiratory distress.

  • Higher scores correlate with decrease in oxygenation and pH.

Although these scores were studied in infants with RDS, they are useful in assessing any newborn with respiratory distress.

[Figure caption and citation for the preceding image starts]: Clinical scoring system for assessing the degree of respiratory distress in the newborn. The physician after assessing the baby using the 5 signs in the left column gives a score of 0 (normal), 1 (mild distress), or 2 (severe distress). Scores for all 5 signs are added, a score of 0 being a normal baby and a score of 10 being very sick. Scores in between correspond to mild to moderate distressCreated by Dr Vidyasagar and Dr Bhat [Citation ends].com.bmj.content.model.Caption@7b69d4d5

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