Skip to main content
. 2010 Jun;23(2):131–138. doi: 10.1089/ped.2010.0021

Table 1.

The Severe Asthma Research Program Definition of Severe Asthma, Adapted from the American Thoracic Society Workshop on Refractory Asthma16

Major criteria for severe asthma (must have at least 1 to achieve asthma control):
 Treatment with high-dose inhaled corticosteroids
 Treatment with continuous oral corticosteroids (at least 50% of the year)
Minor criteria for severe asthma (must have at least 2):
 Treatment with additional controller medications to maintain asthma control
 Daily use of short-acting bronchodilators (5 of 7 days)
 Persistent airflow obstruction, with baseline FEV1 <80% predicted
 One or more urgent care visits for asthma in the previous year
 Three or more oral corticosteroid bursts in the previous year
 A history of prompt deterioration in asthma symptoms with a reduction in the dose of inhaled corticosteroids or oral corticosteroids
 A near-fatal asthma event requiring intubation in the past