| Age (years) | |
| Gender | Male Female |
| Nursing-home resident | Yes No |
| ~Co-existing illnesses | |
| Neoplastic disease | Present Not present |
| Liver disease | Present Not present |
| Congestive heart failure | Present Not present |
| Cerebrovascular disease | Present Not present |
| Renal disease | Present Not present |
| ~Physical examination findings | |
| Altered mental status | Yes No |
| Respiratory rate >=30 breaths/min | Yes No |
| Systolic blood pressure < 90 mm Hg | Yes No |
| Temperature < 35°C (95°F) or >=40°C (104°F) | Yes No |
| Pulse >= 125 beats/min | Yes No |
| ~Laboratory and radiographic findings (if study performed) | |
| Arterial blood pH < 7.35 | Yes No Test not performed |
| Blood urea nitrogen level >=30 mg/dL | Yes No Test not performed |
| Sodium level < 130 mmol/L | Yes No Test not performed |
| Glucose level >=250 mg/dL | Yes No Test not performed |
| Hematocrit < 30% | Yes No Test not performed |
| Partial pressure of arterial 0(2) < 60 mm Hg or 0(2) Sat < 90% | Yes No Test not performed |
| Pleural effusion | Yes No Test not performed |
The Pulmonary Index Score (PIS) presented here is that of Scarfone (reference below). This score is useful in assessing severity and response to therapy in pediatric asthma.
Asthma is defined as a syndrome with paroxysmal coughing, wheezing and dyspnea; and caused by the hyperresponsiveness of the tracheo-bronchial system to different stimuli, resulting in airway obstruction (American Thoracic Criteria).
4 items are assessed in the PIS:
Each of these receives a score of 0-3 with a possible total score of 0-12 when summed to make the final score.
Scoring is based upon:
* Assessed by observing jugular, supraclavicular, intercostal, and subcostal areas
Interpretation:
References: