The Heckerling Score – H&P predictor of CXR findings

The Heckerling score:  1 point each for

  • T > 37.8 C
  • HR > 100/min
  • crackles on auscultation
  • diminished breath sounds
  • absence of asthma

Score of 4 or 5 highly suggestive of pneumonia (+LR = 8.2, increasing pre-test probability around 45%)

Score of 0 or 1 suggestive of NO pneumonia (-LR = 0.3, decreasing pre-test probability nearly 30%)

Source:  Evidence-Based Physical Examination, McGee, 2018

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