Modified Asthma Predictive Index - adds aeroallergen and food sensitisation.
The Modified API (mAPI) is a respiratory scoring tool used in paediatric practice. Modified Asthma Predictive Index - adds aeroallergen and food sensitisation. It scores 7 criteria and interprets the total across 2 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
7. They are ≥4 wheezing episodes in the past year, at least one physician-confirmed (required); MAJOR - parental history of asthma; MAJOR - physician-diagnosed atopic dermatitis; MAJOR - sensitisation to ≥1 aeroallergen; MINOR - wheezing apart from colds; MINOR - blood eosinophilia ≥ 4 %; and others.
The total is interpreted as: any score - Negative: requires ≥4 wheezing episodes/year PLUS ≥1 major OR ≥2 minor criteria; 6 criteria or more - Positive mAPI: positive mAPI - increased likelihood of persistent asthma. Used as an entry criterion in several paediatric asthma trials.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
Source: Guilbert TW et al. Atopic characteristics of children with recurrent wheezing at high risk for the development of childhood asthma. J Allergy Clin Immunol 2004;114:1282-7.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.