Table 2.
Clinical attributes characterizing a pediatric asthma exacerbation
| # | Attribute | Values |
|---|---|---|
| Medical history | ||
| 1 | Age at registration | numerical (years) |
| 2 | Primary care | family doctor, pediatrician, walk-in/other, none |
| 3 | Previous chest clinic assessment | yes, no |
| 4 | Age of first asthma symptoms | < 1 year, 1–3 years, > 3 years |
| 5 | Current inhaled steroids | < 1 week, 1–4 weeks, > weeks, none |
| 6 | Last exacerbation | < 1 month ago, 1–3 months ago, 3–12 months ago, > 12 months ago |
| 7 | Last oral steroids | < 1 month ago, 1–3 months ago, 3–12 months ago, > 12 months ago, never |
| 8 | Previous ED visits for asthma | 1, 2, 3, 4 or more, none |
| 9 | Previous admission for asthma | floor, ICU, none |
| 10 | Smokers at home/daycare | yes, no |
| 11 | Carpets in bedroom | yes, no |
| 12 | Pet allergies | yes, no |
| 13 | Food allergies | yes, no |
| 14 | Environmental allergies | yes, no |
| 15 | Atopy/eczema | yes, no |
| 16 | Family history of asthma | yes, no |
| Current exacerbation | ||
| 17 | Duration of symptoms | < 12 hours, 12–48 hours, >48 hours |
| 18 | URTI symptoms | yes, no |
| 19 | Fever | yes, no |
| 20 | Exposure to allergen | yes, no |
| 21 | Bronchodilators in the last 24 hours | 1–3, 4–6, > 6, none |
| 22 | Transport to ED | self/parents, ambulance |
| Assessment (primary or secondary) | ||
| 23 | SaO2 (oxygen saturation) | numerical (%) |
| 24 | Temperature | numerical (C) |
| 25 | Heart rate | numerical (bpm) |
| 26 | Respiratory rate | numerical (bpm) |
| 27 | Skin color | pink/normal, dusky, pale |
| 28 | Distress | none, mild, moderate, severe |
| 29 | Suprasternal retractions | absent, present |
| 30 | Scalene retractions | absent, present |
| 31 | Air entry | normal, diminished at bases, diminished at widespread, minimal |
| 32 | Wheezing | absent, expiration, inspiration/expiration, audible with a stethoscope |