Severe Asthma Assessment Checklist
This checklist is intended to provide a practical structure, which can be used to inform the diagnosis and characterisation of severe asthma in the clinic.
| Clinical Question | Assessment |
|---|---|
| 1. Has the Diagnosis of Asthma Been Confirmed? | Compatible history and objective evidence of variability in symptoms and lung function over time; either spontaneously, with treatment or following bronchial provocation testing. |
| 2. Is it Severe? | Demonstration of:
|
| 3. Is Treatment Optimal? | Treatment with:
|
| 4. Are Self-Management Skills Optimal? | Optimised:
|
| 5. Are Trigger Factors Identified and Managed? | Examples:
|
| 6. Is Co-Morbidity Identified and Managed? | Examples:
|
| 7. What is the Pattern of Airway Inflammation? | Eosinophilic (sputum assessment, FeNO, blood eosinophils) Neutrophilic (sputum assessment) Mixed (sputum assessment) Paucigranulocytic (sputum assessment) |
| 8. What is the Optimal Individualised Management Plan? | Developed with evidenced based interventions that target clinical issues identified during a systematic and multidimensional assessment, in partnership with patients and clinicians, considering patient preferences. |
This checklist has been developed as a tool within the National Health and Medical Research Council (NHMRC) Centre of Excellence in Severe Asthma.
