Schauberger et al reported the Personalized Asthma Risk Score for identifying a young child who may be at risk for developing asthma. The authors are from Cincinnati Children's Hospital and the University of Cincinnati.
Patient selection: probably 3 to 7 years
Outcome: asthma development
Parameters:
(1) parental asthma
(2) eczema before the age of 3 years
(3) wheezing apart from colds
(4) early wheezing (before the age of 3)
(5) race
(6) number of positive skin prick tests (SPT)
Parameter |
Finding |
Points |
parental asthma |
no |
0 |
|
present |
2 |
eczema before the age of 3 |
no |
0 |
|
yes |
2 |
wheezing apart from colds |
no |
0 |
|
yes |
3 |
early wheezing |
no |
0 |
|
yes |
3 |
race |
Afro-American |
2 |
|
other |
0 |
number of positive skin prick tests |
0 or 1 |
0 |
|
>= 2 |
2 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 14
• The higher the score the greater the risk for asthma.
Score |
Percent with Asthma by Age 7 |
0 |
3% |
2 |
6% |
3 |
8% |
4 |
11% |
5 |
15% |
6 |
19% |
7 |
25% |
8 |
32% |
10 |
49% |
11 |
58% |
12 |
66% |
14 |
79% |
Specialty: Pulmonology, Pedatrics, Emergency Medicine