Table 1.
Criteria for the Diagnosis of Severe Asthma (SARP)
| Major Criteria: Need ≥ 1 |
| Treatment with continuous or near continuous (50% of year) oral corticosteroids |
| Requirement for treatment with high-dose inhaled corticosteroids |
| Minor Criteria: Need ≥ 2 |
| Requirement for additional daily treatment with a controller medication (e.g., LABA, theophylline or leukotriene antagonist) |
| Asthma symptoms requiring short-acting β-agonist use on a daily or near-daily basis |
| Persistent airway obstruction (FEV1 < 80% predicted, diurnal peak expiratory flow variability > 20%) |
| One or more urgent care visits for asthma per year |
| Three or more oral steroid bursts per year |
| Prompt deterioration with a 25% reduction in oral or inhaled corticosteroid dose |
| Near-fatal asthma event in the past |