Asthma score | Scoring criteria | |
---|---|---|
Score 0: stable asthma | EITHER: | |
Morning PEFR greater than 90% of run in best value AND number of puffs of supplementary bronchodilator less than 7 per 24 h | ||
OR: | ||
Morning PEFR 76–90% of run in best value BUT WITHOUT deterioration in any of the symptom scores as listed below | ||
Score 1: mildly unstable | EITHER: | |
Two or more of the following: | ||
1. Morning PEFR 76–90% of run in best value | ||
2. Supplementary bronchodilator use: 7 or more puffs per 24 h greater than rounded mean1-150 during run in | ||
3. Deterioration in symptom score of 1 point or more compared to rounded mean1-150 for run in for: | ||
- Daytime or night-time chest tightness/wheeze/dyspnoea OR | ||
- Daytime or night-time cough OR | ||
- Sputum production OR | ||
- Exercise/activity OR | ||
4. Appearance/deterioration in nocturnal wakening | ||
OR: | ||
Morning PEFR 61–75% of run in best value BUT WITHOUT deterioration in any symptom scores as listed above | ||
Score 2: minor deterioration | EITHER: | |
Morning PEFR 61–75% of run in best value AND two or more of the criteria listed for asthma score 1 | ||
OR: | ||
Morning PEFR 40–60% of run in best value BUT WITHOUT deterioration in any symptom scores listed for asthma score 1 | ||
Score 3: major deterioration | Morning PEFR 40–60% of run in best value AND two or more of the criteria listed for asthma score 1 | |
Score 4: major exacerbation/medical emergency | EITHER: | |
Morning PEFR less than 40% of run in best value irrespective of symptoms | ||
OR: | ||
Attendance at general practitioner or hospital emergency department because of severe asthma |
↵1-150 Mean symptom score for last 14 days of run in period, rounded to nearest whole number.