Chart 1. Definition of asthma control by different instruments.
Instrument/items | Controlled asthma | Partially controlled asthma | Uncontrolled asthma |
---|---|---|---|
GINA 1 | |||
Diurnal symptoms > 2 times per week | None | 1-2 items | 3-4 items |
Nocturnal awakenings due to asthma | |||
Rescue medication > 2 times per week | |||
Limitation of activities due to asthma | |||
ACQ-7 25 )a | Score | ||
Number of nocturnal awakenings | ≤ 0.75 | 0.75 to < 1.5 | > 1.5 |
Intensity of symptoms | |||
Limitation of activities due to asthma | |||
Intensity of dyspnea | |||
Wheezing (how long) | |||
Rescue medication | |||
Pre-bronchodilator FEV1 | |||
ACT 26 | Score | ||
Limitation of activities due to asthma | ≥ 20 | 15-19 | ≤ 15 |
Dyspnea | |||
Nocturnal awakenings due to asthma | |||
Rescue medication | |||
Self-assessment of asthma control |
GINA: Global Initiative for Asthma; ACQ-7: 7-item Asthma Control Questionnaire - 0-7 points per item; ACT: Asthma Control Test - 0-5 points per item. aThe ACQ can be used without spirometry; in this case, it is referred to as ACQ-6. If used without spirometry or rescue medication, it is referred to as ACQ-5.