Published online July 3, 2006
PEDIATRICS Vol. 118 No. 1 July 2006, pp. 322-329 (doi:10.1542/peds.2005-2576)
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REVIEW ARTICLE

Assessment of Asthma Severity and Asthma Control in Children

Barbara P. Yawn, MD, MSca, Susan K. Brenneman, PhDb, Felicia C. Allen-Ramey, PhDb, Michael D. Cabana, MD, MPHc and Leona E. Markson, ScDb

a Department of Research, Olmsted Medical Center, Rochester, Minnesota
b Outcomes Research and Management, Merck & Co, Inc, West Point, Pennsylvania
c Division of General Pediatrics, University of California, San Francisco, California

National and international guidelines for asthma recommend the assessment and documentation of severity as the basis for patient management. However, studies show that there are problems with application of the severity assessment to children in clinical practice. More recently, asthma control has been introduced as a method to assess the adequacy of current treatment and inform asthma management. In this article we review the application and limitations of the severity assessment and the asthma-control tools that have been tested for use in children. A system of using asthma severity for disease assessment in the absence of treatment and using asthma-control assessment to guide management decisions while a child is receiving treatment appears to be a promising approach to tailor treatment to improve care and outcomes for children with asthma.

Key Words: asthma • assessment • asthma severity • asthma control • children

Abbreviations: NAEPP—National Asthma Education and Prevention Program • GINA—Global Initiative for Asthma • FEV1—forced expiratory volume in 1 second • ATAQ—Asthma Therapy Assessment Questionnaire • ACT—Asthma Control Test

Accepted Jan 19, 2006.




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