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Westley Croup Score

Quantifies croup severity (although mainly used for research, not clinically).

About the Creator
Terry Klassen
Dr. Terry Klassen
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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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