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Table 2 Criteria for Targeting the Domains of Asthma Control According to the EPR-3: Reducing Impairment and Risk[7]

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

Asthma Control Domain

Criteria

Reducing impairment

• Prevent chronic and troublesome symptoms (eg, coughing or breathlessness in the daytime, nighttime, after exertion)

 

• Infrequent use (£2 days/week) of inhaled short-acting bronchodilator for quick relief of symptoms

 

• Maintain (near) "normal" pulmonary function

 

• Maintain normal activity levels (including exercise, other physical activity, attendance at work or school)

 

• Meet patients' and families' expectations of and satisfaction with asthma care

Reducing risk

• Prevent recurrent exacerbations of asthma; minimize emergency department visits, urgent care visits, hospitalizations

 

• Prevent progressive loss of lung function (for children, prevent reduced lung growth)

 

• Provide optimal pharmacotherapy with minimal (ideally, no) adverse effects