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 |