Assess asthma severity in pediatric patients
The PRAM score was developed as a bedside clinical tool to assist clinicians at grading acute asthma severity in the pediatric population.
The initial prospective cohort study (Chalut et al. 2000) enrolled 217 children ages 3-6 presenting to the pediatric emergency department and compared multiple clinical variables against a gold standard in grading asthma severity. They isolated 5 examination parameters with the highest correlation to the gold standard test and created the PRAM score as the most useful multi-variate analysis.
The PRAM score was subsequently validated (Ducharme et al. 2008) for children aged 2-17 presenting to the pediatric emergency department, demonstrating good internal consistency and inter-rater reliability for all patients across this age range. The validation study showed a strong correlation between PRAM score and admission rates suggesting its ability to categorize severity.
Variable & Associated Points
Variables considered include O2 Saturation %, Suprasternal notch retractions, Scalene muscle contractions present, Air entry (using most severely affected lung), Wheezing (using most severely affected lung).
Chalut DS, Ducharme FM, Davis GM.
Ducharme FM, et al.
The PRAM score was developed as a bedside clinical tool to assist clinicians at grading acute asthma severity in the pediatric population.
The initial prospective cohort study (Chalut et al. 2000) enrolled 217 children ages 3-6 presenting to the pediatric emergency department and compared multiple clinical variables against a gold standard in grading asthma severity. They isolated 5 examination parameters with the highest correlation to the gold standard test and created the PRAM score as the most useful multi-variate analysis.
The PRAM score was subsequently validated (Ducharme et al. 2008) for children aged 2-17 presenting to the pediatric emergency department, demonstrating good internal consistency and inter-rater reliability for all patients across this age range. The validation study showed a strong correlation between PRAM score and admission rates suggesting its ability to categorize severity.
Variable & Associated Points
Variables considered include O2 Saturation %, Suprasternal notch retractions, Scalene muscle contractions present, Air entry (using most severely affected lung), Wheezing (using most severely affected lung).
Chalut DS, Ducharme FM, Davis GM.
Ducharme FM, et al.
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