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    Westley Croup Score

    Quantifies croup severity (although mainly used for research, not clinically).
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    About the Creator
    Dr. Terry Klassen
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      Evidence
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      Advice

      • Definitions of croup severity are neither widely accepted nor rigorously derived.
      • Oral, inhaled, or intramuscular corticosteroids are recommended for all patients with croup, even with barking cough alone.
        • Corticosteroids improve croup scores at 6 hours, reduce re-visits/re-admissions, and reduce ED/Hospital length of stay.
      • Consider the Alberta (Canada) Clinical Practice Guideline (see below) or institution-specific (e.g., Children’s Hospital Colorado) algorithms for more clinically relevant guidance of classification and treatment.

      Management

      Treatment algorithms differ among institutions; for the Alberta Group treatment algorithm.

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