Farion et al reported a modification of the Preschool Respiratory Assessment Measure (PRAM) for evaluation of pediatric patients with asthma. The authors are from the University of Ottawa and the Polish Academy of Sciences.
Patient selection: 1 to 17 years old with asthma, post treatment
Parameters:
(1) suprasternal retractions and air entry
(2) air entry
(3) wheezing on inspiration and expiration
(4) oxygen saturation in percent
Parameter
Finding
Points
suprasternal retraction and air entry
no retractions, good air entry
0
no retractions, air entry not good
1
retractions
2
air entry
good
0
mild reduction
1
moderate to severe reduction
3
wheezing
absent on inspiration and expiration
0
present on expiration, absent on inspiration
1
present on both inspiration and expiration
2
oxygen saturation
>= 95%
0
92 to 94%
1
< 92%
2
where:
• Wheezing on inspiration but not expiration was considered an invalid option.
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• A moderate to severe exacerbation has a score >= 4.
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