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Pediatric Heart Failure Severity Index (Ross Classification) Calculator

  • Age (months)
  • Feeding Difficulty / Sweating with Feedings (Yes=1, No=0)
  • Respiratory Rate (breaths per minute)
  • Heart Rate (beats per minute)
  • Hepatomegaly (cm below costal margin)
  • Pediatric Heart Failure Severity Index (Ross Classification): Explanation and Clinical Context
    The Ross Classification is a widely used clinical scoring system to assess the severity of heart failure in infants and young children. It evaluates symptoms such as feeding difficulty, tachypnea, diaphoresis, hepatomegaly, and growth. Class I represents asymptomatic patients, Class II indicates mild symptoms with exertion (such as feeding), Class III represents moderate heart failure with noticeable clinical signs, and Class IV denotes severe heart failure with symptoms at rest.
    This tool helps clinicians to stratify the severity of pediatric heart failure, guide treatment decisions, monitor response to therapy, and predict short-term clinical outcomes.

    Reference:
    Ross RD. The Ross classification for heart failure in children after 25 years: a contemporary update. Pediatr Cardiol. 1992;13:72-77. doi:10.1007/BF02096530

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