MDCalc

Modified Asthma Predictive Index (mAPI)

Predicts future asthma in pediatric patients.

This score applies to pediatric patients ≤3 years old.

≥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:

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Advice

Unfortunately, while the mAPI was used successfully to identify high asthma risk children in a randomized trial, there was no long term benefit found from inhaled corticosteroids on the development of asthma or lung function.

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