[Skip to Navigation]
March 1972

A Clinical Scoring System for the Diagnosis of Respiratory Failure: Preliminary Report on Childhood Status Asthmaticus

Author Affiliations

From the departments of pediatrics (Drs. Wood, Downes, and Lecks) and anesthesiology (Dr. Downes), University of Pennsylvania School of Medicine; and departments of allergy (Drs. Wood and Leeks) and intensive care (Dr. Downes), Children's Hospital of Philadelphia, Philadelphia.

Am J Dis Child. 1972;123(3):227-228. doi:10.1001/archpedi.1972.02110090097011

A clinical scoring system has been developed to detect impending or existing respiratory failure in childhood status asthmaticus. The score is based on a numerical evaluation of oxygenation, gas exchange, work of breathing, airway obstruction, and cerebral function. A highly significant correlation exists between the score and arterial carbon dioxide tension (Pco2). The score and arterial oxygen tension (Po2) during air breathing also appear to be significantly related.