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Modified Asthma Predictive Index Calculator

  • Has the child had four or more wheezing episodes in the past year
  • Parent with physician diagnosed asthma
  • Child has physician diagnosed atopic dermatitis
  • Child has physician diagnosed allergic rhinitis
  • Child wheezes apart from colds
  • Blood eosinophils equal or above four percent
  • Modified Asthma Predictive Index Explanation and Clinical Context
    The Modified Asthma Predictive Index is a validated clinical tool used to estimate the risk of developing persistent asthma in children who present with recurrent wheezing during early childhood. The index is designed to differentiate transient wheezing associated with viral illness from an evolving chronic airway disease pattern. The tool uses a combination of major and minor clinical criteria that reflect genetic predisposition atopy and airway inflammation. A positive result indicates a significantly increased probability of developing persistent asthma by school age while a negative result suggests a lower likelihood. The Modified API supports early counseling monitoring and identification of children who may benefit from targeted prevention strategies or early therapeutic intervention.

    Reference
    Castro Rodriguez JA et al. A clinical index to define risk of asthma in young children. Am J Respir Crit Care Med. 2000. Guilbert TW et al. The Prevention of Early Asthma in Kids study. J Allergy Clin Immunol. 2004.

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