Scoring system for use with pediatric asthma or bronchiolitis. It has not been validated in bronchiolitis, but is used by many local guidelines. Don't include preemies or age < 12wks or those with comorbid problems which may worsen disease course.
Scores are taken both before and after treatment ("SCORE, TREATMENT, SCORE"). Each score ranges 1-12.
Asthma:
- Initial Score:
- 1-5 → Albuterol MDI 8 puffs
- ≥6 → Albuterol 20mg neb over 1hr
- Follow-up Score:
- ≤4 → Discharge
- 5-8 → Albuterol MDI, admit if not improving
- ≥9 → Admit
Bronchiolitis: Admit for score ≥5-9.
Seattle Children's Asthma Pathway. Text
Seattle Children's Bronchiolitis Pathway. Text