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)