Patients with asthma are more likely to die if certain risk factors are present. The presence of one or more of these factors can help identify a patient who requires closer monitoring and more aggressive therapy.


Past history:

(1) sudden severe exacerbations of asthma

(2) intubation because of asthma

(3) admission to the intensive care unit because of asthma

(4) >= 3 emergency room visits for asthma in the past year

(5) >= 2 hospitalizations for asthma in the past year

(6) emergency room visit or hospitalization for asthma within the past month


Concurrent diseases:

(1) serious psychiatric disease or psychosocial problems

(2) significant comorbid disease (cardiovascular disease, COPD, etc.)

(3) illicit drug abuse


Therapeutic factors:

(1) use of > 2 canisters of inhaled short-acting beta-2-agonist per month

(2) current use of systemic corticosteroids

(3) recent withdrawal from systemic corticosteroids


Other factors:

(1) difficulty in perceiving airflow obstruction or its severity

(2) sensitivity to Alternaria

(3) low socioeconomic status with urban residence


To read more or access our algorithms and calculators, please log in or register.