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Respiratory Calculators
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Modified asthma predictive index (mapi)
Modified Asthma Predictive Index (mAPI)
≥4 wheezing episodes/year
No
Yes
Major Criteria
Parent with asthma
No
Yes
Patient has atopic dermatitis
No
Yes
Patient with aeroallergen sensitivity (ex: hay fever)
No
Yes
Minor Criteria
Wheezing unrelated to colds
No
Yes
Eosinophils ≥4% (on CBC)
No
Yes
Patient with allergy to milk, egg, or peanuts
No
Yes
Result :
Negative
Patient less likely to develop asthma by age 11.
Instructions
Applicable to pediatric patients ≤3 years old.
References
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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