Evaluation of asthma with special reference to asthma evaluation score

Abstract

Objective: Assess severity with different asthma scores, correlate PEFR & Spo2 with clinical scores. Methods: Prospective study done at tertiary hospital including 100 asthma children. Clinical asthma evaluation score (D.W.), Pulmonary index (Becker) & Pulmonary score (Sharon smith) with Spo2 &PEFR measured initially & 1 hour after treatment. Acute severe asthma on presentation & no significant improvement after 1 hour of Rx were admitted. Results: In W.D, 1(100%), 8(100%) & 54/91(59.3%) with score>7, 6-7& 0-5 respectively admitted. In P.I.16 (100%), 45/63(71.42%) & 2/21(9.5%) with score >6, 4-6& 0-3respectively admitted. In P.S. 11(100%), 49/65(75.38%) & 3/24(12.5%) with score>6, 4-6&0-3 respectively admitted. No patients with PEFR>= 80% admitted. All patients with SPO2<=90% admitted. Coefficient of correlation between PEFR &score W.D., P.I. & P.S. IS -0.65, -0.64 & -0.66 respectively. Coeff. of correlation between SPO2 & score W.D., P.I. & P.S. is 0.68, 0.67 & 0.62 respectively. Conclusion: PEFR have significant negative correlation with scores. But pulmonary score is easy to perform & doesn’t require laboratory assistance. SPO2 show significant negative correlation with scores.