Yale Observation Scale (Mc Carthy Pediatrics)
Indications
1.Assessment of febrile child ages 3-36 months
2.Predicts serious infection (Occult Bacteremia)
3.Quantifies “Toxic Appearance” in children
Interpretation
1.Score = 10 :Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Incidence serious illness: 2.7%
2. Score = 11-15Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Incidence serious illness: 26%
3. Score >16Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Incidence serious illness: 92.3%
Scoring
Quality of Cry
Strong or No cry: 1
Whimper or Sob: 3
Weak cry, Moan, or high pitched cry: 5
Reaction to parents
Brief Cry or Content: 1
Cries off and on: 3
Persistent cry: 5
State variation
Awakens quickly: 1
Difficult to awaken: 3
No arousal or falls asleep: 5
Color
Pink: 1
Acrocyanosis: 3
Pale, Cyanotic, or Mottled: 5
Hydration
Eyes, skin, and mucus membranes moist: 1
Mouth slightly dry: 3
Mucus Membranes dry, eyes sunken: 5
Social Response
Alert or Smiles: 1
Alert or brief smile: 3
No smile, anxious, or dull: 5
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Dr Kondekar Santosh venketraman is a MD pediatrician at seth GS medical college and
KEM HOSPITAL MUMBAI INDIA
