Silverman-Andersen respiratory severity
Silverman-Andersen retraction score: 5 neonatal respiratory signs scored 0-2 each (total 0-10) grading respiratory distress; 0 none, 1-3 mild, 4-6 moderate, >=7 severe.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Upper-chest / abdomen movement
- 1
- Intercostal retraction
- 1
- Xiphoid retraction
- 1
- Nares dilatation
- 1
- Expiratory grunt
- 1
Result: Total 5 (moderate distress, 4-6). Higher = worse.
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What the result means
- 0
- No respiratory distress.
- 1-3
- Mild respiratory distress.
- 4-6
- Moderate respiratory distress.
- 7-10
- Severe distress / impending respiratory failure.
What you enter
- Upper-chest / abdomen movement (synchrony)
- Intercostal retraction
- Xiphoid retraction
- Nares dilatation
- Expiratory grunt
How this is calculated
Silverman WA, Andersen DH. Pediatrics. 1956;17(1):1-10. Five signs 0-2 each; total 0-10, higher = worse (inverse of APGAR). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.