Pediatric respiratory assessment measure score in assessing the severity of acute asthma in children

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dc.contributor.authorPrasanna, R.en_US
dc.contributor.authorMoidu, Fayrouzen_US
dc.contributor.authorPasupathy, Sekaren_US
dc.date.accessioned2020-09-24T07:43:54Z
dc.date.available2020-09-24T07:43:54Z
dc.date.issued2019-05
dc.description.abstractBackground: Asthma is a chronic inflammatory disease of the lung airways resulting in episodic airflow obstruction. Management of acute pediatric asthma depends on assessment of asthma severity which is difficult in children due to poor coordination. This study is to evaluate the usefulness of a simple yet effective alternative like Pediatric respiratory assessment measure (PRAM) score in assessing the severity and outcome of an acute exacerbation of wheeze in children and to identify the PRAM score predicting the need for hospitalization.Methods: A prospective cohort study was done on 127 children for a period of 2 months in 2018, admitted with acute exacerbation of wheeze using PRAM scores at admission and following each treatment modalities. Usefulness of score in assessing severity was evaluated.Results: Increasing severity was associated with increasing initial PRAM score. Initial mean PRAM score of 11 in severe persistent forms, 7 in moderate persistent, 6.73 in mild persistent and 5.37 in mild intermittent was found. 59.1% of patients had a positive family history. The most common trigger factor according to our study was viral upper respiratory tract infection (50.4%) followed by exposure to dust (13.4%). Patients who were admitted to the Pediatric Intensive Care Unit (PICU) had the maximum number of interventions.Conclusions: In our study, statistically it was proved that PRAM Score is a tool that can be used across different ages and PRAM Score is a tool that can be used to assess severity of asthma.en_US
dc.identifier.affiliationsDepartment of Paediatrics, SRM Medical College Hospital and Research Centre, Kattankulathur, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.citationPrasanna R., Moidu Fayrouz, Pasupathy Sekar. Pediatric respiratory assessment measure score in assessing the severity of acute asthma in children. International Journal of Contemporary Pediatrics. 2019 May; 6(3): 1211-1217en_US
dc.identifier.issn2349-3283
dc.identifier.issn2349-3291
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/204070
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3291.ijcp20192014en_US
dc.subjectAsthmaen_US
dc.subjectAsthma scoresen_US
dc.subjectPRAM scoreen_US
dc.titlePediatric respiratory assessment measure score in assessing the severity of acute asthma in childrenen_US
dc.typeJournal Articleen_US
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