Guideline decision tool · Pediatrics
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Downes Score (Neonatal Respiratory Distress) — free guideline decision tool

Assess neonatal respiratory distress severity with the Downes score.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Common questions

What does Downes Score (Neonatal Respiratory Distress) do?

Decide on escalation of neonatal respiratory support.

How is the result calculated?

Respiratory rate, cyanosis, air entry, grunting and retractions — each 0–2. ≤ 3 mild, 4–6 moderate, ≥ 7 failure.

Is this a substitute for clinical judgement?

No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.

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Run Downes Score (Neonatal Respiratory Distress) now

Assess neonatal respiratory distress severity with the Downes score.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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Related guideline tools

For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.