Pediatric acute asthma scoring systems: a systematic review and survey of UK practice.

摘要: Background Acute exacerbations of asthma are common in children. Multiple severity scores exist, but current emergency department (ED) use is not known. Methods A systematic review was undertaken to identify the parameters collected pediatric scores. survey Paediatric Emergency Research United Kingdom and Ireland (PERUKI) sites ascertain routinely data information about Included studies examined exacerbation children 5-18 years age with extractable parameters. Results Sixteen articles were eligible, containing 17 The assessed combinations 15 different (median, 6; range, 2-8). most considered expiratory wheeze (15/17), inspiratory (13/17), respiratory rate (10/17), general accessory muscle (9/17). Fifty-nine PERUKI centers responded questionnaire. Twenty (33.1%) currently assess severity, few a published score. commonly recorded routine required for oxygen saturations (59/59, 100%), heart rate, (58/59, 98.3% both). Among well-validated like Pulmonary Index Score (PIS), Pediatric Asthma Severity (PASS), Childhood (CAS), Respiratory Assessment Measure (PRAM), only 6/59 (10.2%), 3/59 (5.1%), 1/59 (1.7%), 0 (0%) units respectively collect calculate them. Conclusion Standardized infrequently used. Improved collection focusing on key multiple could improve this, facilitating research audit acute asthma.