Centre of Excellence in Severe AsthmaCentre of Excellence in Severe Asthma
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Severe Asthma Checklist

Home Severe Asthma Checklist

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.

asthma checklist

Click here to download the severe asthma checklist

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:
  • Poor control
  • Airflow obstruction
  • Frequent exacerbations
  • Life-threatening episodes
3. Is Treatment Optimal? Treatment with:
  • High-dose inhaled corticosteroids (ICS) and
  • Long-acting beta agonists (LABA) or other controller
OR
  • Moderate dose ICS and > 1 controller
4. Are Self-Management Skills Optimal? Optimised:
  • Inhaler device technique
  • Adherence
  • Self-monitoring
  • Disease knowledge
  • Written action plan
5. Are Trigger Factors Identified and Managed? Examples:
  • Allergens
  • Cigarette smoke
  • Respiratory viral infection
  • Emotional stress
  • Mould or dampness
  • Patient-reported triggers
6. Is Co-Morbidity Identified and Managed? Examples:
  • Sino-nasal disease (e.g. rhinosinusitis, rhinitis)
  • Dysfunctional breathing
  • Paradoxical vocal fold movement
  • Obstructive sleep apnoea
  • Anxiety and/or Depression
  • Gastro-oesophageal reflux disease
  • Obesity
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.

Access additional clinical resources here: https://www.severeasthma.org.au/tools-resources/toolkits/

News

Clinical Recommendations for COVID-19 in Severe Asthma
Clinical Recommendations for COVID-19 in Severe Asthma

May 15th, 2020

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CANCELLED: CRE Severe Asthma Webinar: "Exercise-induced Laryngeal Obstruction (EILO). What is it, who gets it, how you assess it, what you do about it?"
CANCELLED: CRE Severe Asthma Webinar: "Exercise-induced Laryngeal Obstruction (EILO). What is it, who gets it, how you assess it, what you do about it?"

March 13th, 2020

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POSTPONED: Laryngeal Dysfunction Workshop
POSTPONED: Laryngeal Dysfunction Workshop

March 13th, 2020

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NHMRC Centre of Excellence in Severe Asthma
c/o Hunter Medical Research Institute
Locked Bag 1000
New Lambton, NSW 2305
AUSTRALIA
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