TABLE 6.

Reasons for referral to an asthma specialist for consultation or comanagement

Diagnostic uncertainty or suspicion of comorbidity Repeated (≥2) exacerbations requiring rescue oral corticosteroids or hospitalization or frequent symptoms (≥8 days/month) despite moderate (200 μg to 250 μg) daily doses of inhaled corticosteroids Life-threatening event such as an admission to the intensive care unit Need for allergy testing to assess the possible role of environmental allergens Other considerations (parental anxiety, need for reassurance, additional education)