Based on low quality evidence, a strong recommendation is made to use the PRAM score to assess asthma severity in the ED/UCC for a pediatric patient with an acute asthma exacerbation. The expansion of the PRAM from a score to be used in pre-school patients to the overall pediatric population is clearly described (Ducharme et al., 2008). Subsequent studies have identified a high PRAM score as a strong predictor of hospital admission (Alnaji, Zemek, Barrowman, & Plint, 2014; Gouin et al., 2010) and extended ED stays (Alnaji et al., 2014; Gouin et al., 2010).
For additional information click here for the Asthma Scores Critically Appraised Topic (CAT)
Alnaji, F., Zemek, R., Barrowman, N., & Plint, A. (2014). PRAM score as predictor of pediatric asthma hospitalization. Acad Emerg Med, 21(8), 872-878. doi:10.1111/acem.12422
Ducharme, F. M., Chalut, D., Plotnick, L., Savdie, C., Kudirka, D., Zhang, X., . . . McGillivray, D. (2008). The Pediatric Respiratory Assessment Measure: a valid clinical score for assessing acute asthma severity from toddlers to teenagers. J Pediatr, 152(4), 476-480, 480 e471. doi:10.1016/j.jpeds.2007.08.034
Gouin, S., Robidas, I., Gravel, J., Guimont, C., Chalut, D., & Amre, D. (2010). Prospective evaluation of two clinical scores for acute asthma in children 18 months to 7 years of age. Acad Emerg Med, 17(6), 598-603. doi:10.1111/j.1553-2712.2010.00775.x