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The COLDS score

The COLDS score
  1 2 5
C: Current signs/symptoms None Mild Moderate/severe
    Examples: Parent confirms URI and/or congestion, rhinorrhea, sore throat, sneezing, low fever, or dry cough Examples: Purulence, wet cough, abnormal lung sounds, lethargy, "toxic" appearance, or high fever
O: Onset >4 weeks ago  2-4 weeks ago  <2 weeks ago
L: Lung disease None Mild Moderate/severe
    Examples: Hx of RSV, mild intermittent asthma, CLD if >1 year old, loud snoring, or passive smoker Examples: Moderate persistent asthma, infant with CLD, OSA, or pulmonary HTN
D: Airway device planned None or facemask Laryngeal mask airway or supraglottic airway Tracheal tube
S: Airway surgery planned Other (including ear tubes) Minor airway Major airway
    Examples: T/A, NLD probe, flexible bronchoscopy, and dental extractions Examples: Cleft palate, rigid bronchoscopy, and maxillofacial
Each category (column 1) is assigned 1, 2, or 5 points (columns 2-4), to obtain a total score ranging from 5 to 25. Examples are illustrative and not intended to be all-inclusive.
URI: upper respiratory tract infection; Hx: history; RSV: respiratory syncytial virus; CLD: chronic lung disease; OSA: obstructive sleep apnea; T/A: tonsillectomy and/or adenoidectomy; NLD: nasolacrimal duct.
From: Lee BJ, August DA. COLDS: A heuristic preanesthetic risk score for children with upper respiratory tract infection. Paediatr Anaesth 2014; 24:349. DOI: 10.1111/pan.12337. Copyright © 2014. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: permissions@wiley.com or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (http://onlinelibrary.wiley.com).
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