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Help patients gain better asthma control

Stuart W Stoloff1

  • 1Department of Family and Community Medicine, University of Nevada-Reno, CarsonCity, NV 89703, USA. drstoloff@sbcglobal.net

The Journal of Family Practice
|September 13, 2008
PubMed

Insights

Asthma management guidelines recommend assessing severity and control to tailor treatment. Spirometry is crucial for diagnosis and monitoring in patients aged 5 and older, alongside personalized action plans.

Area of Science:

  • Pulmonology
  • Clinical Medicine
  • Respiratory Health

Background:

  • Asthma management requires accurate assessment of severity and control.
  • Current guidelines emphasize individualized treatment strategies.
  • Effective asthma management involves patient education and action plans.

Purpose of the Study:

  • To outline key recommendations for asthma severity assessment and control monitoring.
  • To guide age-specific treatment decisions for asthma.
  • To promote the use of spirometry for asthma diagnosis and management.

Main Methods:

  • Utilizing guidelines from the National Heart, Lung, and Blood Institute (NHLBI) and National Asthma Education and Prevention Program (NAEPP) Expert Panel Report 3 (EPR-3).
  • Differentiating treatment approaches based on age groups: 0-4 years, 5-11 years, and ≥12 years.
  • Employing spirometry for diagnosis, severity classification, and control assessment in patients aged 5 years and older.

Main Results:

  • Asthma severity assessment is recommended before treatment initiation.
  • Monitoring asthma control guides therapy adjustments using impairment and risk measures.
  • Spirometry is a key tool for objective asthma assessment in children and adults.

Conclusions:

  • Treatment decisions should be age-specific, following established guidelines.
  • Written asthma action plans are essential for daily management and recognizing symptom exacerbation.
  • Comprehensive asthma management integrates assessment, age-tailored therapy, and patient empowerment.

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