The Pediatric Respiratory Assessment Measure: A Valid Clinical Score for Assessing Acute Asthma Severity from Toddlers to Teenagers

Implementing an Integrative Multi-agent Clinical Decision Support System with Open Source Software

“…We used the PRAM score [13] as a proxy for such knowledge. PRAM is an evaluative score that uses 5 clinical attributes (suprasternal retractions, scalene contraction, air entry, wheezing and oxygen saturation) to derive an evaluation on a 12-point scale.…”

“…We labeled a record to be "questionable" if it was impossible to compute M-PRAM (because of missing values or their invalid combinations) or if a record associated with moderate/severe exacerbation received M-PRAM score equal to 0 (while it should be 4 or more [13]). The latter allowed us to exclude those records, where the final outcome was clearly inconsistent with recorded findings.…”

“…Literature reviews identify more than sixteen such models [8,9]. Examples include the Asthma Severity Scale (ASS) [10], Clinical Asthma Score (CAS) [11], Pediatric Asthma Severity Score (PASS) [12], Pediatric Respiratory Assessment Measure (PRAM) [13], and Pulmonary Score (PS) [14]. Unfortunately, they suffer from the same shortcomings as any asthma CPG -they rely on clinical attributes that are not routinely used or that cannot be collected for all patients (e.g., results of pulmonary function tests that are applicable to older children [15]) and require complete information characterizing the patient's state.…”

The Social Determinants of Child Health: Variations Across Health Outcomes – A Population‐Based Cross‐Sectional analysis

“…The presence of an asthma condition was asked for very young children and there is a debate in the literature about the accuracy of diagnosing asthma among children younger than 5 years of age [59]. However, the literature also suggests that the accuracy of diagnosis can be improved through detailed information about family history of asthma, blood test results, concentrations of nitric oxide in a toddler's breath, x-rays, assessment by a pediatric pulmonologist, and the use of validated measures of asthma severity such as the Preschool Respiratory Assessment Measure [60]. Unfortunately, how the asthma diagnosis was made was not captured in the current dataset.…”

An Innovative Childhood Asthma Score Predicts the Need for Bronchodilator Nebulization in Children With Acute Asthma Independent of Auscultative Findings

“…Several clinical scores have been developed and shown to correlate well with the degree of asthma severity and response to treatment. [1][2][3][4][5][6][7] This makes the different asthma scores attractive for use in clinical pathways. Indeed, it has been demonstrated that the use of an asthma score in a clinical pathway for acute asthma reduced the hospital stay without increased morbidity.…”