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Use of a standardized asthma severity score to determine emergency department disposition for paediatric asthma: A cohort study.

Pavan JudgeRaymond TabeshiRen Jie YaoGarth MecklerQuynh Doan
Published in: Paediatrics & child health (2018)
We observed significant deviation from our PRAM-directed pathway discharge criteria and that a significant proportion of observed patients experienced clinical deterioration beyond the first hour of observation. We recommend observing children with moderate asthma for 2 or 3 hours from last bronchodilator therapy if PRAM < 4 is maintained, to capture the majority (97.7% or 99.7%) of patients who require further intervention and hospitalization.
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