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Asthma Severity Index (ASTHMA)

  • D. John Doyle

Abstract

The need for objective determination of when to hospitalize patients who present to the emergency room (ER) with severe bronchial asthma has motivated much work in this area [1–4]. In the usual clinical setting, asthmatic patients are admitted to hospital only when a trial of therapy in the ER has been unsuccessful. Consequently, these patients may spend many hours in the ER prior to a decision regarding hospitalization or discharge. In spite of this, about one quarter of patients treated and discharged from the ER undergo relapse, requiring further ER therapy [1].

Keywords

Emergency Room Peak Expiratory Flow Rate Predictor Index Toronto General Hospital Pulsus Paradoxus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Kelsen SG, et al: Emergency room assessment and treatment of patients with acute asthma: Adequacy of the conventional approach. Am J Med 1978; 64: 622–628.PubMedCrossRefGoogle Scholar
  2. 2.
    Rebuck AS, Read J: Assessment and management of severe asthma. Am. J Med 1971; 51: 788–798.PubMedCrossRefGoogle Scholar
  3. 3.
    Banner AS, et al: Rapid prediction of need for hospitalization in acute asthma. JAMA 1976; 235: 1337–1338.PubMedCrossRefGoogle Scholar
  4. 4.
    Skim CS, Williams MH Jr: Evaluation of the severity of asthma: Patients versus physicians. Am J Med 1980; 68: 11–13.CrossRefGoogle Scholar
  5. 5.
    Fishi MA, et al: An index predicting relapse and need for hospitalization in patients with acute bronchial asthma. N Engl J Med 1981; 305: 783–789.CrossRefGoogle Scholar
  6. 6.
    Mc Fadden ER Jr, Lyons HA: Arterial blood gas tensions in asthma. N Engl J Med 1968; 278: 1027–1032.CrossRefGoogle Scholar
  7. 7.
    Skim C, Williams MH Jr: Pulsus paradoxus in asthma. Lancet 1978; 1: 530–531.Google Scholar
  8. 8.
    Wright BM: A miniature Wright peak-flow meter. Br Med J 1978; 2: 1627–1628.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1989

Authors and Affiliations

  • D. John Doyle
    • 1
  1. 1.Institute of Biomedical Engineering and Department of AnaesthesiaUniversity of TorontoTorontoCanada

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