Table 1.
Classification of Asthma4
Components of Severity | Asthma Severity | ||||
---|---|---|---|---|---|
Intermittent | Persistent | ||||
Mild | Moderate | Severe | |||
Impairment | Symptoms | ≤ 2 days per week | > 2 days per week, but not daily | Daily | Throughout the day |
Nighttime awakenings | ≤ 2 times per month | 3–4 times per month | More than once per week, but not nightly | Often; 7 times per week | |
Short-acting beta agonist use for symptom control | ≤ 2 days per week | > 2 days per week, but not more than once per day | Daily | Several times per day | |
Interference with normal activity | None | Minor limitation | Some limitation | Extreme limitation | |
Lung function* | FEV1 > 80% predicted FEV1/FVC normal Normal FEV1 between exacerbations |
FEV1 ≥ 80% predicted FEV1/FVC normal |
FEV1 > 60% but < 80% predicted FEV1/FVC reduced by up to 5% |
FEV1 < 60% predicted FEV1/FVC reduced by more than 5% |
|
Risk | Exacerbations requiring oral systemic corticosteroids | 0–1 per year | 2 or more per year |
FEV1 = forced expiratory volume in one second; FVC = forced vital capacity.
Normal FEV1/FVC ratio for ages 8–19 years = 85%; ages 20–39 years = 80%; ages 40–59 years = 75%; ages 60–80 years = 70%.