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Comparison of the modified Asthma Predictive Index (mAPI) and the Pediatric Asthma Risk Score (PARS)

Comparison of the modified Asthma Predictive Index (mAPI) and the Pediatric Asthma Risk Score (PARS)
  mAPI[1] PARS[2]
Episodes of wheezing during infancy/toddler years ++ ++
Wheezing unrelated to upper respiratory illness + ++
Eczema during infancy/toddler years + +
Parental history of asthma + +
African American race*   +
Allergic sensitization to aero and/or food allergen + +
Eosinophils ≥4% in circulation +  

+: The criterion increases the likelihood of asthma.

++: Compared with other criteria in the predictive index, this symptom is required or significantly increases the likelihood of asthma.
* PARS is based upon an epidemiologic study that used self-reported race as a predictor variable. This variable is likely a surrogate for historically marginalized populations who were subject to structural and economic racism.
References:
  1. Chang TS, Lemanske RF Jr, Guilbert TW, et al. Evaluation of the modified asthma predictive index in high-risk preschool children. J Allergy Clin Immunol Pract 2013; 1:152.
  2. Biagini Myers JM, Schauberger E, He H, et al. A Pediatric Asthma Risk Score to better predict asthma development in young children. J Allergy Clin Immunol 2019; 143:1803.
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