Modified Sick Neonatal Score (MSNS): A Novel Neonatal Disease Severity Scoring System for Resource-Limited Settings

Table 1

Parameters of MSNS with scoring for each parameter.

Parameter	Score 0	Score 1	Score 2
Respiratory effort	Apnea or grunt	Tachypnea (respiratory rate >60/min) with or without retractions	Normal (respiratory rate 40–60/min)
Heart rate	Bradycardia or asystole	Tachycardia (>160/min)	Normal (100–160/min)
Axillary temperature (°C)	<36	36–36.5	36.5–37.5
Capillary refilling time (s)	>5	3–5	<3
Random blood sugar (mg/dl)	<40	40–60	>60
SpO2 (in room air)	<85	85–92	>92
Gestational age (in weeks)	<32 weeks	32 to 36 weeks + 6/7 days	37 weeks and above
Birth weight (kg)	<1.5	1.5–2.49	2.5 or above
Total	Maximum 16