Modified Ross Classification

Name: Modified Ross Classification
Creator: Daniel Diaz-Gil, MD
Keywords: Ross, modified Ross, heart failure, congestive, infant, cardiac, feeding, tachypnea, tachycardia, perfusion, classification, pediatric, cardiology

Classifies pediatric heart failure severity with age-adjusted thresholds

Clinically Verified· 5 tests

For educational and informational purposes only. Verify all results before clinical application.

Age (months) *

months

Heart Rate *

bpm

Respiratory Rate *

/min

Feeding History *

Perfusion *

References

Ross RD, Bollinger RO, Pinsky WW. Grading the severity of congestive heart failure in infants. Pediatr Cardiol. 1992;13(2):72-75.[DOI]
Läer S, Mir TS, Behn F, et al. Carvedilol therapy in pediatric patients with congestive heart failure: a study investigating clinical and pharmacokinetic parameters. Am Heart J. 2002;143(5):916-922.[DOI]

Reviewed by Daniel Diaz-Gil, MD · Last updated March 2026

Medical disclaimer

This tool is for educational and informational purposes only. It is not a substitute for professional clinical judgment. Always independently verify results before making clinical decisions.

Professional Resources — Tools used by pediatricians for clinical scoring

PEWS Reference CardsPediatric Early Warning Score quick-reference cards for bedside use~$15via Amazon Pediatric Digital ScaleAccurate weight measurement for clinical assessment~$40via Amazon BoardVitals Pediatrics QbankBoard-style questions for general pediatrics certificationsubscriptionvia BoardVitals