Lee and August reported the COLDS score for evaluating a pediatric patient with an upper respiratory tract infection prior to surgery. The authors are from the Massachusetts General Hospital.
Patient selection: pediatric patient with clinical upper respiratory tract infection prior to elective surgery
Parameters:
(1) current signs and symptoms (C)
(2) onset of symptoms (O)
(3) lung disease (L)
(4) airway device (D)
(5) type of surgery (S)
Parameter
Finding
Points
current symptoms
none
1
mild
2
moderate or severe
5
onset of symptoms
> 4 weeks ago
1
2 to 4 weeks ago
2
< 2 weeks ago
5
lung disease
none
1
mild
2
moderate or severe
5
airway device
none or facemask
1
supraglottic airway or LMA
2
endotracheal tube
5
type of surgery
major airway
5
minor airway
2
other
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 5
• maximum score: 25
• The higher the score the greater the risk for perioperative respiratory events.
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