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Pediatric Respiratory Assessment Measure (PRAM)

Five-item clinical severity score for pediatric asthma exacerbations.

Pediatric Respiratory Assessment Measure (PRAM)
Oxygen saturation on room air
Suprasternal retractions
Scalene muscle contraction
Air entry
Wheezing
Result0 points

Mild exacerbation (PRAM range 0-12).

When to use

  • Assessing and tracking asthma exacerbation severity in children roughly 2-17 years old, including pre-/post-treatment comparison.

Formula

PRAM = O2 saturation (0-2) + suprasternal retractions (0 or 2) + scalene muscle contraction (0 or 2) + air entry (0-3) + wheezing (0-3). Range 0-12. Mild 0-3, moderate 4-7, severe 8-12.

References

  1. Ducharme FM, Chalut D, Plotnick L, et al. The Pediatric Respiratory Assessment Measure: a valid clinical score for assessing acute asthma severity from toddlers to teenagers. J Pediatr. 2008;152(4):476-480.