Silverman-Andersen respiratory severity score (newborn)
Respiratory distress severity in newborns.
Inputs
CompleteUpper chest movement
Lower chest (intercostal) retraction
Xiphoid retraction
Nasal flaring
Expiratory grunt
Worked calculation
Your values are highlighted.
- Points
When to use
- Newborns with respiratory signs.
Pearls and pitfalls
- Higher is worse; 7 or more suggests impending respiratory failure.
Why use
Quick bedside newborn assessment.
| Criterion | Points |
|---|---|
| Upper chest movement: Synchronized with abdomen | 0 |
| Lag on inspiration | +1 |
| See-saw | +2 |
| Lower chest (intercostal) retraction: None | 0 |
| Just visible | +1 |
| Marked | +2 |
| Xiphoid retraction: None | 0 |
| Just visible | +1 |
| Marked | +2 |
| Nasal flaring: None | 0 |
| Minimal | +1 |
| Marked | +2 |
| Expiratory grunt: None | 0 |
| Audible with stethoscope | +1 |
| Audible without stethoscope | +2 |