PMID: 41662Dec 1, 1979

A clinical score for predicting the level of respiratory care in infants with respiratory distress syndrome

Clinical Pediatrics
G J PeckhamJ G Shutack


A scoring system was developed to predict the need for transferring infants with respiratory distress syndrome (RDS) from community hospitals to specialized respiratory care centers. Five clinical and laboratory determinations (birthweight, clinical RDS score, FI02, PCO2 and pH) recorded from 100 infants with RDS during one year were utilized in a score with values ranging from 0 to 10. Application of the score to 159 infants with RDS during the following year showed that: (1) 73 per cent of infants scoring less than or equal to 3 received only oxygen by hood; (2) 75 per cent of infants scoring 4--5 required continuous positive airway pressure (CPAP); and (3) 87 per cent of infants scoring greater than or equal to 6 needed mechanical ventilation (7V). Mean scores were significantly different (p less than 0.02) for each type of respiratory therapy employed: oxygen by hood (2.30 +/- 0.19 S.E.M.); CPAP (4.27 +/- 0.16 S.E.M.); MV (6.72 +/- 0.25 S.E.M.). The accuracy and simplicity of the score make it valuable for the physician in the community hospital to assist in deciding when to transfer a neonate with RDS for more intensive respiratory therapy.


Aug 2, 1975·British Medical Journal·N R Robertson, J P Tizard
May 22, 1975·The New England Journal of Medicine·J J Evans
Jun 17, 1971·The New England Journal of Medicine·G A GregoryW K Hamilton
Feb 1, 1971·American Journal of Obstetrics and Gynecology·L GluckW N Spellacy
Feb 9, 1967·The New England Journal of Medicine·M T StahlmanW J Blankenship


Jul 22, 2004·Journal of Paediatrics and Child Health·A Morosini, M W Davies

Related Concepts

Carbon Dioxide
Hospitals, Community
Hydrogen-Ion Concentration
Oxygen Consumption
Oxygen Therapy Care
Positive End-Expiratory Pressure
Mechanical Ventilation
Respiratory Distress Syndrome, Newborn
Respiratory Therapy
Transportation of Patients

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