Modified Asthma Predictive Index (mAPI)

≥4 wheezing episodes/year
Major Criteria
Parent with asthma
Patient has atopic dermatitis
Patient with aeroallergen sensitivity (ex: hay fever)
Minor Criteria
Wheezing unrelated to colds
Eosinophils ≥4% (on CBC)
Patient with allergy to milk, egg, or peanuts
Result :
Patient less likely to develop asthma by age 11.


Applicable to pediatric patients ≤3 years old.


  • Guilbert TW, et al. Long-term inhaled corticosteroids in preschool children at high risk for asthma. N Engl J Med. 2006 May 11;354(19):1985-97
  • Chang TS, Lemanske RF, Guilbert TW, et al. Evaluation of the Modified Asthma Predictive Index in High-Risk Preschool Children. The journal of allergy and clinical immunology in practice. 2013; 1(2):10.1016/j.jaip.2012.10.008. doi:10.1016/j.jaip.2012.10.008.

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