Bronchiolitis · descriptive scores
Two descriptions of the respiratory examination, with distinct scales and populations. No automatic choice.
Wang / WBSS
Principle
Description of the respiratory examination; four contributions, total only.
Scope
Professional descriptive use before 24 months. Grid transposed from De Rose 2023, table 1; original Wang 1992 table not read, without certified equivalence to the original. The De Rose cohort was under 3 months: its performance is not generalized to all children under 24 months. No individual prognosis or disposition.
Interpretation limits
Descriptive total only, without severity class, individual prognosis, disposition or conversion to Tal/HAS. Apnea, cyanosis and exhaustion require assessment independently of the score.
Formula and logic
WBSS = respiratory rate + wheeze + retractions + general condition. Four contributions; total 0–12.
The added terms are point contributions under this scoring system, not raw measurements.
Definition version : 1.0.0
Sources
Full references
De Rose DU et al. · Frontiers in Pediatrics · 2023
Table 1, WBSS column: operational secondary source for the Wang grid, four items and points. Own cohort under 3 months. CC BY 4.0: https://creativecommons.org/licenses/by/4.0/ ; adaptation and local FR/EN wording, without author endorsement.
Wang EEL et al. · American Review of Respiratory Disease · 1992
Original reference identified, DOI 10.1164/ajrccm/145.1.106; original table not obtained/not read. No certified equivalence to the original.
Modified Tal Golan–Tripto2018
Principle
Description of the respiratory examination; four contributions, total only, room-air SpO₂.
Scope
Modified Tal Golan–Tripto2018, before 12 months. Study of 50 hospitalized infants; descriptive use in emergency or outpatient care is a context extension not validated by this study. Study exclusions: previous hospitalization for wheezing, chromosomal abnormality, chronic cardiac or pulmonary disease. No other Tal, severity class or disposition. Withdrawn former tool not reactivated.
Interpretation limits
Descriptive total only: no severity class, disposition or conversion to Wang/HAS. Apnea, cyanosis and exhaustion require independent assessment. Never remove oxygen to obtain a score.
Formula and logic
Tal Golan–Tripto2018 = age-dependent respiratory rate + room-air SpO₂ + wheeze/crackles + accessory respiratory muscles. Four contributions; total 0–12.
The added terms are point contributions under this scoring system, not raw measurements.
Definition version : 1.0.0
Sources
Golan–Tripto I et al. · Pediatric Pulmonology
Full references
Golan–Tripto I et al. · Pediatric Pulmonology · 2018
Table 1 and §2.2: four items, age-dependent thresholds and room-air SpO₂. DOI 10.1002/ppul.24007. Hospital study of 50 infants under 12 months. Public access to a copy of the Wiley article, without claiming an open license or official translation; facts/rules transposed and local wording, without PDF redistribution.