Which factors suggest high risk in pediatric asthma?

Updated: Jan 08, 2019
  • Author: Girish D Sharma, MD, FCCP, FAAP; Chief Editor: Kenan Haver, MD  more...
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Answer

Any patient with high-risk asthma should be referred to a specialist. The following may suggest high risk:

  • History of sudden severe exacerbations

  • History of prior intubation for asthma

  • Admission to an ICU because of asthma

  • Two or more hospitalizations for asthma in the past year

  • Three or more emergency department visits for asthma in the past year

  • Hospitalization or an emergency department visit for asthma within the past month

  • Use of 2 or more canisters of inhaled short-acting beta2-agonists per month

  • Current use of systemic corticosteroids or recent withdrawal from systemic corticosteroids


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