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Analysis of the asthma scores recommended in guidelines for children presenting to the emergency department: a Pediatric Emergency Research Networks study

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dc.contributor.authorGray, Charmaine
dc.contributor.authorCollings, Madeline
dc.contributor.authorBenito, Javier
dc.contributor.authorVelasco, Roberto
dc.contributor.authorLyttle, Mark D.
dc.contributor.authorRoland, Damian
dc.contributor.authorSchuh, Suzanne
dc.contributor.authorShihabuddin, Bashar
dc.contributor.authorKwok, Maria
dc.contributor.authorMahajan, Prashant
dc.contributor.authorJohnson, Mike
dc.contributor.authorZorc, Joseph
dc.contributor.authorKhanna, Kajal
dc.contributor.authorYock-Corrales, Adriana
dc.contributor.authorFernandes, Ricardo M.
dc.contributor.authorSanthanam, Indumathy
dc.contributor.authorCheema, Baljit
dc.contributor.authorOng, Gene Yong-Kwang
dc.contributor.authorJaiganesh, Thiagarajan
dc.contributor.authorPowell, Colin
dc.contributor.authorDalziel, Stuart
dc.contributor.authorBabl, Franz E.
dc.contributor.authorCouper, Jennifer
dc.contributor.authorCraig, Simon
dc.date.accessioned2025-05-28T13:40:02Z
dc.date.available2025-05-28T13:40:02Z
dc.date.issued2025
dc.description© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.pt_PT
dc.description.abstractRationale: While there are numerous published paediatric asthma scores, it is unknown how commonly scores are recommended in asthma guidelines across different geographical regions globally, and what their validation status is. Objectives: (1) To describe which clinical guidelines recommend asthma scores across different geographical regions. (2) To describe the initial and subsequent validation of the commonly recommended asthma scores. Methods: Observational study of asthma scores recommended in guidelines for the management of acute paediatric asthma from institutions across the Pediatric Emergency Medicine Network; global paediatric emergency medicine research network comprising all eight local and regional paediatric emergency medicine research networks. Main results: 158 guidelines were identified. Overall, 83/158 (53%) guidelines recommend a bedside clinical score for assessment of asthma severity. While a single country-specific clinical score was recommended in all guidelines from Spain and Canada, 27/28 (96%) of the USA guidelines recommend a wide variety of scores, and scores are rarely recommended in guidelines from other research networks (PERUKI, Paediatric Emergency Research in the UK and Ireland and PREDICT, Paediatric Research in Emergency Departments International Collaborative in Australia and New Zealand) and other countries (Costa Rica, South Africa, Nigeria, Singapore, India).The Pediatric Respiratory Assessment Measure (PRAM) and the pulmonary score (PS) were the most frequently used scoring instruments. While the PRAM has undergone the most extensive validation, including construct validity, validation studies for the PS are limited. Inter-rater reliability, as well as the criterion, responsiveness and discriminative validity aspects represent the most common limitations in many of the scores. Conclusions: There are marked geographical differences in both the recommendation for and the type of clinical asthma score in clinical practice guidelines. While many asthma scores are recommended, most have insufficient validation.pt_PT
dc.description.sponsorshipThis work is supported by the National Health and Medical Research Council (NHMRC) Centre of Research Excellence in Paediatric Emergency Medicine (GNT1171228), Canberra, Australia. SC’s contribution was funded by the Thoracic Society of Australia and New Zealand and National Asthma Council Fellowship, 2020 and the Australasian College for Emergency Medicine 26 Foundation Al Spilman Early Career Research Grant 2017. SD’ s time was in part funded by Cure Kids New Zealand. FEB’s time was funded by an NHMRC Investigator Leadership grant (GNT2017605) and the Royal Children’s Hospital Foundation, Parkville, Australia.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationArch Dis Child. 2025 May 16;110(6):422-428pt_PT
dc.identifier.doi10.1136/archdischild-2024-327635pt_PT
dc.identifier.eissn1468-2044
dc.identifier.issn0003-9888
dc.identifier.urihttp://hdl.handle.net/10400.5/101084
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJ Publishing Group Ltdpt_PT
dc.relation.publisherversionhttps://adc.bmj.com/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectPaediatric emergency medicinept_PT
dc.subjectRespiratory medicinept_PT
dc.titleAnalysis of the asthma scores recommended in guidelines for children presenting to the emergency department: a Pediatric Emergency Research Networks studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage428pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPage422pt_PT
oaire.citation.titleArchives of Disease in Childhoodpt_PT
oaire.citation.volume110pt_PT
person.familyNameFernandes
person.givenNameRicardo
person.identifier309018
person.identifier.orcid0000-0002-7253-6475
person.identifier.ridC-7501-2015
person.identifier.scopus-author-id24436565500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication862be38f-2247-424c-b26c-d3bdda4474be
relation.isAuthorOfPublication.latestForDiscovery862be38f-2247-424c-b26c-d3bdda4474be

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