Mount Carmel Health Partners Clinical Guidelines Asthma

Classifying Asthma Severity in Children 0 to 4 Years of Age Symptoms Intermittent Asthma Persistent Asthma Mild Moderate Severe Less than or equal to 2 days/week Greater than 2 days/week Daily Throughout the day None 1 to 2 times/month 3 to 4 times/month More than 1 time/week Less than or equal to 2 days/week Greater than 2 days/week Daily Several times/day Interference with daily activities None Minor Some Extreme Exacerbations requiring oral glucocorticoids 0 to 1/year Daytime symptoms Nocturnal awakenings Short-acting beta agonists Greater than or equal to 2 exacerbations in 6 months requiring oral systemic glucocorticoids or greater than 4 wheezing episodes/year lasting more than 1 day AND risk factors for persistent asthma Classifying Asthma Severity in Children 5 to 11 Years of Age Symptoms Intermittent Asthma Persistent Asthma Mild Moderate Severe Daytime symptoms Less than or equal to 2 days/week Greater than 2 days/week Daily Throughout the day Nocturnal awakenings Less than or equal to 2 days/month 3 to 4 times/month Less than 1 time/week but not nightly Often 7 times/week Short-acting beta agonists Less than or equal to 2 days/week Greater than 2 days/week Daily Several times/day None Minor Some Extreme Normal between exacerbations Greater than or equal to 80% Between 60-80% Less than 60% Greater than 80% Greater than 80% Between 75-80% Less than 75% 0 to 1 /year Greater than or equal to 2/year Greater than or equal to 2/year Greater than or equal to 2/year Interference with daily activities FEV1 FEV1/FVC Ratio Exacerbations requiring oral glucocorticoids Classifying Asthma Severity in Patients 12 Years of Age and Older Symptoms Intermittent Asthma Persistent Asthma Mild Moderate Severe Daytime symptoms Less than or equal to 2 days/week Greater than 2 days/week Daily Throughout the day Nocturnal awakenings Less than or equal to 2 days/month 3 to 4 times/month Less than 1 time/week Nightly Less than 2 days/week Greater than 2 days/week Daily Several times/day None Minor Some Extreme FEV1 Normal Normal Between 60-80% Less than 60% FEV1/FVC Ratio Normal Normal Below normal Below normal Less than or equal to 1/year 1 to 2/year Greater than or equal to 2/year Greater than 2/year Short-acting beta agonists Interference with daily activities Exacerbations requiring oral glucocorticoids Asthma - 5

Mount Carmel Health Partners Clinical Guidelines Asthma | Page 5