The Preschool Respiratory Assessment Measure(PRAM)on The Severity Of Acute Asthma Attacks In Children

Objective: To explore the Preschool Respiratory Assessment Measure(PRAM)in assessing the severity of acute attacks of asthma in children.Methods:From January 2019 to October 2019,a total of 146 asthma children aged 6-14 years were collected from Department of Comprehensive Pediatrics in The Affiliated Hospital of Qingdao University,including 101 males and 45 females,with an average age of 8.9 ± 2.0 years.At the time of admission,a pediatric asthma specialist based on the2016 diagnostic guidelines for the diagnosis and prevention of bronchial asthma in children,at the time of admission to the hospital,for children who were diagnosed with asthma for the first time and had an acute attack,the asthma specialist The severity of acute asthma attacks in the Diagnosis and Prevention Guide is divided into three groups:mild,moderate,and severe.fill in the PRAM score;perform lung function test at the same time,record the forced expiratory volume as a percentage of the predicted value(FEVl%),and forced vital capacity as a percentage of the predicted value(FVC%),the measured peak expiratory flow rate as a percentage of the predicted value(PEF%),and the maximum expiratory flow rate as a percentage of the predicted value(50% FEF)when exhaled 50% of the vital capacity.To investigate the correlation between PRAM score and pulmonary function in children with acute asthma.Result:1.Children with mild acute asthma attacks were 65.8%(96/146)with a PRAM score of1.98 ± 1.14;Children with moderate acute asthma attacks: 26.7%(39/146)with a PRAM score of 4.62 ± 0.96;children with severe acute asthma attacks: 7.5%(11/146),PRAM score was 8.27 ± 0.46.The differences between the groups were statistically significant(P<0.05),indicating that there were significant differences in the PRAM scores among the three groups of children.2.PRAM scores of children with mild acute asthma attacks were 1.98 ± 1.14,FEVl%,FVC%,PEF% and FEF50% were 95.64 ± 14.03,96.63 ± 11.39,81.27 ± 15.15,65.16 ± 20.04;PRAM score The correlation coefficients r with FEVl%,FVC%,PEF%and FEF50% are-0.34,-0.35,-0.36,-0.43,respectively,and the corresponding P values are all less than 0.01,which have significant negative correlations and have statistical significance.3.Children with moderate acute asthma attacks have a PRAM score of 4.62 ± 0.96,FEVl%,FVC%,PEF%,and FEF50% of 73.78 ± 10.37,93.81 ± 14.09,67.40 ± 15.10,57.72 ± 14.33;PRAM score and FEV1% The correlation coefficients r,FVC%,PEF%and FEF50% were-0.49,-0.72,-0.60,-0.42,respectively,and the corresponding P values were all less than 0.01,which had significant negative correlations and had statistical significance.4.Children with severe acute asthma attacks had a PRAM score of 8.27 ± 0.46,FEVl%,FVC%,PEF%,and FEF50% of 38.67 ± 4.09,56.32 ± 9.14,48.00 ± 4.83,24.21 ±17.15,respectively;PRAM score and FEV 1%,The correlation coefficients r of FVC%,PEF% and FEF50% were-0.48,-0.54,-0.59,-0.28,respectively,and the corresponding P values were all less than 0.01,which had significant negative correlations and had statistical significance.Conclusion: During an acute asthma attack,the three groups of children with bronchial asthma have a significant correlation between PRAM scores and pulmonary ventilation function.The PRAM score can better assess the severity of asthma during acute attacks,allowing us to detect changes in asthma conditions in time and make accordingly Judgment of severity and timely and effective treatment are suitable for promotion in busy specialty clinics and primary hospitals and community clinics without lung function testing facilities.