Prevention and Incidence of Asthma and Mite Allergy (PIAMA) Risk Score
PIAMA Calculator
Sex of the Child
Parental Asthma (mother or father)
Parental Allergy (allergic rhinitis, eczema)
Respiratory Tract Infections in First Year
Eczema in First Year
Wheezing Episodes (first 2-3 years)
Wheezing Frequency
PIAMA Risk Score:
0
Determines risk of asthma for school age children.
Why Use
A standardized score for determining which children are at higher risk for development of asthma may improve care and/or disease detection.
When to Use
Children with known wheezing.
Formula
Addition of assigned points.
Pearls / Pitfalls
The Prevention and Incidence of Asthma and Mite Allergy (PIAMA) Risk Score provides a method for predicting likelihood of a later asthma diagnosis. The PIAMA Score’s predictive ability depends heavily on prevalence of asthma in the general population.
Advice
The PIAMA Score has moderate predictive success, and low scores seem more accurate at predicting when a child is unlikely to develop asthma.
More Information
Score interpretation: PIAMA Risk Score Risk of Asthma by School Age ≤7 ≤5% 8-15 6%-22% ≥16 25%-60%