Respiratory Rate (age-adjusted assessment)

1 — Normal for age (within normal range for patient's age group)+12 — Elevated for age (above normal range but not extreme — mild tachypnea)+23 — Markedly elevated (>50% above normal rate — significant tachypnea)+3

Oxygen Saturation (SpO2) on Room Air

1 — SpO2 > 95% (normal on room air)+12 — SpO2 90–95% (mild-moderate hypoxemia)+23 — SpO2 < 90% (significant hypoxemia — supplemental O2 required)+3

Auscultatory Findings

1 — Normal breath sounds or end-expiratory wheeze only+12 — Expiratory wheeze throughout exhalation (audible wheeze on exam)+23 — Inspiratory and expiratory wheeze OR markedly decreased air entry throughout+3

Retractions

1 — None (no visible retractions)+12 — Intercostal retractions only (between the ribs)+23 — Intercostal + subcostal / substernal retractions (more than just intercostal)+3

Dyspnea / Activity and Speech

1 — Normal activity and speech; no dyspnea at rest (may have mild exertional limitation)+12 — Mild-moderate limitation: speaks in phrases or partial sentences; slightly anxious or uncomfortable+23 — Severe limitation: speaks in single words only, unable to complete sentences; markedly distressed or agitated+3

Pediatric Asthma Score (PAS)

Pediatric Asthma Score (PAS)