![]() ![]() Thus, we sought to evaluate the use of the MPIS to predict hospital LOS for patients admitted to our PICU and managed using a standardized clinical pathway.įollowing institutional review board approval, the medical records of all pediatric patients with asthma who were 2–17 y old and admitted to our PICU between June 2014 and November 2017 (after implementation of our pediatric asthma protocol) were retrospectively reviewed. 9 These studies have been relatively small and did not manage asthma using a clinical pathway. 5, 6 In addition to a high interobserver correlation, a higher MPIS has also been reported to be correlated with length of stay (LOS) in the PICU 4, 5 and the need for hospital admission in subjects evaluated in the emergency department. This correlation is supported by several studies. Each parameter is scored from 0 to 3, with a total index score ranging from 0 to 18. 4 The MPIS contains 3 objective parameters and 3 subjective parameters. We incorporated the modified pulmonary index score (MPIS) into our pediatric asthma protocol because it has been shown to have a high interobserver correlation between respiratory therapists, nurses, and physicians. Asthma scoring systems are used to evaluate illness severity in pediatric patients with asthma and are frequently incorporated into asthma pathways, including those in place in our institution. 2 Thus, alternatives to objective measures of lung function are needed. ![]() 1 Objective determinations of illness severity in pediatric patients with asthma are challenging because smaller children and those in respiratory distress are unable to provide reliable bedside spirometry or peak flow measurements. Status asthmaticus is a common reason for admission to the pediatric intensive care unit (PICU). ![]()
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