Asthma

Table 4 PRAM scoring table [21, 22]

Criterion	Description	Score
O₂ saturation (%)	≥ 95	0
	92–94	1
	< 92	2
Suprasternal retraction	Absent	0
Suprasternal retraction	Present	2
Scalene muscle	Absent	0
contraction	Present	2
Air entry^a	Normal	0
	↓ at the base	1
	↓ at the apex and the base	2
	Minimal or absent	3
Wheezing^b	Absent	0
	Expiratory only	1
	Inspiratory (± expiratory)	2
	Audible without stethoscope or silent chest (minimal or no air entry)	3
PRAM score: (max. 12)

Score	0–3	4–7	8–12
Severity	Mild	Moderate	Severe

On-line tool is available at https://www.mdcalc.com/pediatric-respiratory-assessment-measure-pram-asthma-exacerbation-severity
PRAM Pediatric Respiratory Assessment Measure, RUL right upper lobe, RML right middle lobe, RLL right lower lobe, LUL left upper lobe, LLL left lower lobe, O₂ oxygen
^aIn case of asymmetry, the most severely affected (apex-base) lung field (right or left, anterior or posterior) will determine the rating of the criterion
^bIn case of asymmetry, the two most severely affected auscultation zones, irrespectively of their location (RUL, RML, RLL, LUL, LLL), will determine the rating of the criterion

ISSN: 1710-1492