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MPIS (Legacy Version)

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MPIS: Pediatric Asthma Exacerbation Score
Carroll CL. et al. A modified pulmonary index score with predictive value for pediatric asthma exacerbations. Ann Allergy Asthma Immunol. 2005 Mar;94(3):355-9.
Age
years old
Heart Rate
bpm
Respiratory ratebpm(1-minute actual measurement)
SpO2%(O2 not used)
Use of Respiratory Accessory Muscles
Inhalation: Exhalation
(Determined by auscultation)
Wheezing
Heart Rate Under 3 years old [0] <120 [1] 120–140 [2] 141–160 [3] >160
3 years old and older [0] <100 [1] 100–120 [2] 121–140 [3] >140
Respiratory rate Under 6 [0] ≤30 [1] 31–45 [2] 46–60 [3] >60
6 years or older [0] ≤20 [1] 21–35 [2] 36–50 [3] >50
*Measured over 1 minute
Use of Respiratory Accessory Muscles [0] None [1] Mild [2] Moderate [3] Severe
Inhalation: Exhalation [0] 2:1 [1] 1:1 [2] 1:2 [3] 1:3
*Determined by auscultation of alveolar sounds
Wheezing [0] No sound detected [1] End of exhalation [2] Inhalation and exhalation; air flow good [3] Poor air flow
SpO2 [0] ≥96 [1] 93–95 [2] 90–92 [3] <90
*Oxygen administration suspended for 2 minutes
MPIS /18 points

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