Kiseli-Jones-Nesterov Criteria

The Kisely-Jones-Nesterov criteria (KJNC) is a method for assessing a patient’s condition, developed by Soviet doctors Alexander Aleksandrovich Kisel (1859–1938) and Thomas Jones (1881–1956), as well as Alexander Ivanovich Nesterov (1895–1979) in 1946. This method is used to assess the severity of the patient’s condition and determine the need for hospitalization, as well as to select the optimal treatment tactics.

QLNC include assessment of the following parameters:

– Clinical picture of the disease (presence or absence of symptoms).
– Physical examination (assessment of respiratory rate, pulse, blood pressure, oxygen saturation, etc.).
– Laboratory tests (general blood test, general urinalysis, biochemical blood test, etc.)
– X-ray examination (if necessary).

Each parameter is scored on a scale from 0 to 3, where 0 means no symptoms or signs of disease, 2 means moderate symptoms, and 3 means severe symptoms. Then all the points are summed up and the overall QWNC score is obtained. If the total score exceeds 10, this indicates the need for hospitalization of the patient in a hospital.

The CLNC method allows you to quickly and accurately assess the patient’s condition and make the right decision about his further treatment tactics. However, like any other method, it has its limitations and may not be effective in some cases. Therefore, before using CLNC, it is necessary to conduct a complete examination of the patient and assess his general health.

In 1945, Soviet pediatricians A.A. Kiselev, T.D. Jones, A.I. Nesterov proposed criteria for intestinal obstruction for children. Intestinal obstruction is a violation of the passage of food contents through the digestive canal. Most often, the cause is some kind of neoplasm, adhesions or congenital features of the anatomical structure.

Kisel, Jones and Nesterov developed assessment criteria for newborns that are based on three main components: physiological parameters (body temperature, respiratory rate and pulse), clinical signs (presence of disease, such as symptoms of respiratory disorders, infections, etc.), hemoglobin level in the blood. These criteria can be used to determine the risk of complications in newborns after birth. These criteria also influence the methods of providing medical care to newborns.

These criteria allow you to assess the health of a newborn before or immediately after birth. To do this, the baby undergoes a medical examination, which includes measuring pulse, blood pressure, temperature, assessing physical parameters and diagnosing any diseases.

There are several versions of the Jones-Kisel-Nesterov criteria, but I will offer you the most common version of eight signs:

Presence of heart rhythm