TABLE 3.
Main characteristics of patients with slow-onset and sudden-onset acute asthma
Type 1: Slow progression | Type 2: Sudden progression |
---|---|
Slow-onset acute asthma | Sudden-onset, asphyxic, brittle or hyperacute asthma |
Progressive deterioration: >6 h (usually days or weeks) | Rapid deterioration: <6 h |
80% to 90% who presented to an emergency department | 10% to 20% who presented to an emergency department |
Female predominance | Male predominance |
More likely to be triggered by an upper respiratory tract infection | More likely to be triggered by respiratory allergens, exercise and psychosocial issues |
Less severe obstruction at presentation | More severe obstruction at presentation |
Slow response to treatment and higher hospital admissions | Rapid response to treatment and lower hospital admissions |
Airflow inflammation mechanism | Bronchospastic mechanism of deterioration |
Reproduced with permission from reference 26. © The American College of Chest Physicians