Value in Inpatient Pediatrics Network

Modified Cincinnatti score

 

Time/Date/RT initials

Post-Suction Score

Post-Treatment Score

Respiratory Rate

0) Normal

1) Above Tachypnea Threshold (infant greater than 50 when not crying or agitated)

 

 

Accessory Muscles

0) Normal

1) Moderate Retractions

2) Severe Retractions

 

 

Air Exchange

0) Normal

1) Localized Decreased

2) Multi Area Decreased

 

 

Wheezes

0) None/ End Expiratory

1) Entire Expiratory

2) Entire Expiration and Inhalation

 

 

TOTAL SCORE

 

 

 

References

Perlstein PH, Kotagal UR, Bolling C, Steele R, Schoettker PJ, et al. Evaluation of an evidence-based guideline for bronchiolitis. Pediatrics 1999;104:1334-41.

Perlstein PH, Kotagal UR, Schoettker PJ, Atherton HD, Farrell MK, et al. Sustaining the implementation of an evidence-based guideline for bronchiolitis. Arch Pediatr Adolesc Med 2000;154:1001-7.

Kotagal UR, Robbins JM, Kini NM, Schoettker PJ, Atherton HD, Kirschbaum MS.  Impact of a bronchiolitis guideline: a multisite demonstration project. Chest. 2002;121:1789-97.

Muething S, Schoettker PJ, Gerhardt WE, Atherton HD, Britto MT, Kotagal UR. Decreasing overuse of therapies in the treatment of bronchiolitis by incorporation evidence at the point of care. J Pediatr 2004;144:703-10.

Conway E, Schoettker PJ, Moore A, Britto MT, Kotagal UR, Rich K. Empowering respiratory therapists to take a more active role in delivering quality care for infants with bronchiolitis. Respir Care. 2004 Jun;49(6):589-99.