Pediatric Respiratory Assessment Measure
Descriptively measures acute asthma exacerbation severity and change across serial assessments.
What is Pediatric Respiratory Assessment Measure?
Pediatric Respiratory Assessment Measure: Descriptively measures acute asthma exacerbation severity and change across serial assessments. Active calculation.…
Population and scope
Asthma & Wheeze. Children aged 2 to under 18 years with an acute asthma exacerbation
Also searched as
PRAM · pram · acute asthma · PRAM score · Pediatric Respiratory Assessment Measure · PRAM asthma score · asma aguda · crisis asmatica
Calculator available
This page has an active local calculator in PedsCore. Entered values are processed in the browser, with references, limits and interpretation shown alongside the result.
Clinical use
This PedsCore page brings together clinical information, implementation status and available evidence for Pediatric Respiratory Assessment Measure. It is intended for Children aged 2 to under 18 years with an acute asthma exacerbation. The tool belongs to Respiratory and should be interpreted in the appropriate clinical context.
Interpretation and validation
Batch 0B1: PRAM definition verified against the original study, pediatric validation from ages 2 to 17, external validation, and operational material. It requires stable room-air SpO2 for at least 1 minute; output is descriptive without management or disposition instructions.
PedsCore does not replace clinical judgement. Scores, rules and calculators are presented with evidence traceability and a visible implementation status.
Clinical review and maintenance
Implementation review and independent clinical review are shown separately. PedsCore does not attribute named reviewers or external endorsement without a public record supporting the claim. The repository preserves source, change and test history.
Editorial transparency
This page is part of an open-source project. Evidence level, implementation status, validation notes and sources are shown explicitly. It currently contains 4 catalog references. Content and calculation changes are reviewed through the public repository, automated tests and version traceability.
The absence of an active calculator is not a clinical recommendation: some tools remain reference-only while source, licensing, exact variant or validation still require review.
Each page lets you verify what is being assessed, which population the tool describes, whether local calculation is available, which limitations remain open and which references support implementation. This context matters when different publications, versions or adaptations share a similar name but are not interchangeable.
References
- Chalut DS, Ducharme FM, Davis GM. The Preschool Respiratory Assessment Measure (PRAM): a responsive index of acute asthma severity. J Pediatr. 2000;137(6):762-768.
- Ducharme FM, Chalut D, Plotnick L, Savdie C, Kudirka D, Zhang X, Meng L, McGillivray D. 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.e1.
- Gouin S, Robidas I, Gravel J, Guimont C, Chalut D, Amre D. Prospective evaluation of two clinical scores for acute asthma in children 18 months to 7 years of age. Acad Emerg Med. 2010;17(6):598-603.
- BC Children's Hospital. PRAM (Pediatric Respiratory Assessment Measure): Score Assessment for Asthma. Child and Youth Health Policy Manual CC.09.27. Effective July 13, 2015.