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The ABCs of asthma control.
Bjorg Thorsteinsdottir1, Gerald W Volcheck, Bo Enemark Madsen
1Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic Proceedings
|July 11, 2008
Summary
New asthma guidelines use impairment and risk assessments for better management. Following four steps—symptom testing, comorbidity review, education, and ongoing care—can lead to improved asthma control and quality of life.
Area of Science:
- Pulmonology
- Clinical Medicine
Background:
- New asthma guidelines incorporate impairment and risk assessments.
- These assessments evaluate symptom frequency, pulmonary function, exacerbation history, and severity.
- Asthma control is crucial for improving quality of life and reducing healthcare utilization.
Purpose of the Study:
- To outline a practical, four-step approach for achieving asthma control in ambulatory settings.
- To emphasize the importance of patient-provider partnerships in asthma management.
Main Methods:
- Utilizing the Asthma Control Test for standardized symptom assessment.
- Employing a mnemonic for systematic review of factors contributing to uncontrolled asthma.
- Implementing directed patient education and a structured schedule for ongoing care.
Main Results:
- The described four-step method facilitates asthma control in clinical practice.
- Optimal care and active patient-provider collaboration are key to achieving good asthma control.
Conclusions:
- Effective asthma management relies on comprehensive assessment and control strategies.
- The four-step approach provides a framework for optimizing asthma care in ambulatory settings.
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