TRACK™ Test for Respiratory and Asthma Control in Kids Who should use TRACK? This simple test can help determine if your child’s breathing problems are not under control.
• Are under 5 years of age AND
• Have a history of 2 or more episodes of wheezing, shortness of breath, or cough lasting
more than 24 hours AND
• Have been previously prescribed bronchodilator medicines, also known as quick-relief medications
(eg, albuterol, Ventolin®, Proventil®, Maxair®, ProAir®, or Xopenex®), for respiratory problems OR have been diagnosed with asthma How to take TRACK Step 1: Make a check mark in the box below each of your selected answers. Step 2: Write the number of your answer in the score box provided to the right of each question. Step 3: Add up the numbers in the individual score boxes to obtain your child’s total score. Step 4: Take the test to your child’s health care provider to talk about your child’s total TRACK score.
During the past 4 weeks, how often was your child bothered by breathing problems, such as wheezing, coughing, or shortness of breath?
1 Not at all Once or twice Once every week 2 or 3 times a week 4 or more times a week
During the past 4 weeks, how often did your child’s breathing problems (wheezing, coughing, shortness of breath) wake him or her up at night?
2 Not at all Once or twice Once every week 2 or 3 times a week 4 or more times a week
During the past 4 weeks, to what extent did your child’s breathing problems, such as wheezing, coughing, or shortness of breath, interfere with his or her ability to play, go to school, or engage in usual activities that a child should be doing at his or her age?
3 Not at all Slightly Moderately Quite a lot Extremely
During the past 3 months, how often did you need to treat your child’s breathing problems (wheezing, coughing, shortness of breath) with quick-relief medications (albuterol, Ventolin®, Proventil®, Maxair®, ProAir®, Xopenex®, or Primatene® Mist)?
4 Not at all Once or twice Once every week 2 or 3 times a week 4 or more times a week
During the past 12 months, how often did your child need to take oral corticosteroids (prednisone, prednisolone, Orapred®, Prelone®, or Decadron®) for breathing problems not controlled by other medications?
5 Never Once Twice 3 times 4 or more times
The brands mentioned herein are trademarks of their respective owners and are not trademarks of the AstraZeneca group
of companies. The makers of these brands are not affi liated with and do not endorse AstraZeneca or its products. Please see reverse side for an explanation of what your child’s total TRACK score means. What does your child’s TRACK score mean? If your child’s score is Less than 80 Your child’s breathing problems may not be under control • Make sure you are following the treatment recommendations given to you by your child’s health care provider • Talk with your child’s health care provider about reasons why your child’s breathing problems may not be under control • Ask your child’s health care provider what steps might be taken to improve your child’s respiratory and asthma
control in order to reduce daytime and nighttime symptoms and to reduce the need to use quick-relief medications
If your child’s score is 80 or more Your child’s breathing problems seem to be under control • Monitor your child’s breathing problems on a regular basis and bring any concerns to the attention of his or her health
care provider. Even though your child may not have breathing problems right now, these can come and go at any time
• Continue talking with the health care provider about your child’s progress and which treatment plan is right • Good respiratory and asthma control can help your child sleep better, participate in everyday activities, and suffer
fewer recurring fl are-ups of breathing problems
Talk to your child’s health care provider about your child’s TRACK score The American Academy of Pediatrics (AAP) Quality Improvement Innovation Network (QuIIN) participated in the validation of this tool
TRACK is a trademark of the AstraZeneca group of companies.
2009 AstraZeneca LP. All rights reserved. 281964 5/09
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High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventive Therapy Drug List (10/01/11) ANTICONVULSANTS ORAL ANTIANGINAL AGENTS COMBINATION ANTIHYPERLIPIDEMICS DIABETES SL and chewable formulations are not included DIAGNOSTIC AGENTS TRANSDERMAL/TOPICAL ANTIANGINAL INJECTABLE DIABETES AGENTS CORONARY ARTERY DISEASE ANTIHYPERLIPIDE