Pediatric Respiratory Assessment Measure (PRAM) for Asthma Exacerbation Severity
Measures severity of airway obstruction in pediatric patients using clinical observations.
INSTRUCTIONS
The PRAM has been used in patients 3-17 years old and works best to evaluate improvement of symptoms pre- and post-treatment.
When to Use
Pearls/Pitfalls
Why Use
≥ 95%
092-94%
+1< 92%
+2No
0Yes
+2No
0Yes
+2Normal
0Decreased at the base
+1Decreased at the apex and the base
+2Minimal or absent
+3Absent
0Expiratory only
+1Inspiratory (± expiratory)
+2Audible without stethoscope or silent chest (minimal or no air entry)
+3Result:
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