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Modified Pulmonary Index Score

Author: pediatricianExecutions: 4028

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MPIS: Pediatric Bronchial Asthma Attack Score
Age
years old
Heart Rate
bpm
Respiratory rate
bpm(Actual measurement: 1 minute)
SpO2
%(No oxygen administered for 2 minutes)
Use of respiratory accessory muscles
Inhalation: Exhalation
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】 *Measured over 1 minute
  Under 6 years old [0] ≤30 [1] 31–45 [2] 46–60 [3] >60
  Ages 6 and older [0] ≤20 [1] 21–35 [2] 36–50 [3] >50
[Use of Accessory Respiratory Muscles]
  [0] None [1] Mild [2] Moderate [3] Severe
[Inspiration: Exhalation] *Determined by auscultation of alveolar sounds
[0] 2:1 [1] 1:1 [2] 1:2 [3] 1:3
[Wheezing]
  [0] Not audible [1] At the end of exhalation [2] During both inhalation and exhalation; good airflow [3] Poor airflow
[SpO2] *Oxygen administration suspended for 2 minutes
  [0] ≥96 [1] 93–95 [2] 90–92 [3] <90

References
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.

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