Yale Observation Scale

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 :                        Incidence serious illness: 2.7%
2. Score = 11-15                    Incidence serious illness: 26%
3. Score >16                          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