Asthma Predictive Index
The API, generated from long-term longitudinal studies of children enrolled at birth, identifies the following risk factors for developing persistent asthma among children younger than 3 years of age who have had 4 or more episodes of wheezing that lasted more than 1 day and affected sleep during the previous year:
One major criterion
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or
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Two minor criteria
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- Parent with asthma
- Atopic dermatitis
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- Allergic rhinitis
- Eosinophilia (eosinophil count, ³4%)
- Wheezing without upper respiratory infection
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The mAPI adds documented environmental allergy to house dust mites, dogs, or cats as major criteria and allergy to milk, egg, or peanut as minor criteria. These additions are helpful in predicting patients more likely to have persistent symptoms.
National Heart, Lung, and Blood Institute, National Asthma Education and Prevention Program. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma: Full Report 2007. Bethesda, MD: NHLBI; 2007:282. http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf. Accessed July 1, 2016