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Table 1 2008 GINA Guidelines Emphasize Asthma Control[1]

From: Section 1. EPR-3 versus GINA 2008 Guidelines - Asthma Control and Step 3 Care: Highlights of the Asthma Summit 2009: Beyond the Guidelines

Characteristic

Controlled

Partially Controlled

Uncontrolled

Daytime symptoms

None (twice or less per week)

More than twice per week

Three or more features of partially controlled asthma in any week

Limitations of activities

None

Any

 

Nocturnal symptoms

None

Any

 

Need for reliever rescue medication

None (twice or less per week)

More than twice per week

 

Lung function (FEV1 or PEFR)

Normal or near-normal

Less than 80% predicted or personal best

 

Exacerbations

None

One or more per year, although any exacerbation should prompt review of maintenance treatment to ensure it is adequate

One in any week

Treatment

Maintain treatment and find lowest controlling step

Consider stepping up to gain control, and treat exacerbations

Step up treatment until disease is controlled, and treat exacerbations