Bronchiolitis Severity Score (Wang Score)
Wang clinical severity score for bronchiolitis in infants. Guides clinical decision-making for bronchiolitis management and hospital admission.
Score interpretation
→ Mild bronchiolitis (0–3): Manage at home. Adequate fluid intake; upright positioning; nasal saline drops; return precautions. No bronchodilators, steroids, or antibiotics routinely. Safety-net: return if worsening feeding, respiratory distress, or apnoea.
→ Moderate bronchiolitis (4–8): Hospital assessment and admission likely. Monitor SpO₂; supplemental oxygen if SpO₂ <92%; NG/IV fluids if <75% intake; high-flow nasal cannula if worsening. No bronchodilators (NICE 2015); consider CPAP if not improving.
→ Severe bronchiolitis (9–12): Admit to PICU. Oxygen to maintain SpO₂ ≥92%; high-flow nasal oxygen (Optiflow); CPAP or invasive ventilation if failing; NG tube if oral intake impossible; senior PICU review urgently.
Interpretation bands for the Bronchiolitis Score. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Salbutamol (Paediatric — Asthma/Wheeze) · Short-Acting Beta-2 Agonist (SABA)
- Doxapram hydrochloride · Respiratory stimulant
- Melatonin · Melatonin Receptor Agonist
- Alginic Acid · Antacid / Alginate (GORD Treatment)
- Phytomenadione (Vitamin K1) · Vitamin K (clotting factor cofactor)
- Phytomenadione (Vitamin K1) · Vitamin K (Coagulation Factor Synthesis)
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.