Severity classification of exacerbations and acute asthma

Exacerbations

Acute asthma

Mild: Worsening of asthma control that is only just outside the normal range of variation for the individual (documented when patient is well) 
Moderate: Worsening asthma that is troublesome or distressing to the patient and requires a change in treatment, but is not life-threatening and does not require hospitalisation

 

Mild–moderate: (all of these features):

Can walk, speak whole sentences in one breath

Oxygen saturation >94%

Severe (any of these features):

Unable to complete sentences in one breath due to breathlessness

Use of accessory muscles of neck or intercostal muscles/tracheal tug/subcostal recession during inspiration

Obvious respiratory distress

Oxygen saturation ≤94%

Life-threatening (any of these features):

Reduced consciousness/collapse, exhaustion

Cyanosis

Poor respiratory effort

Oxygen saturation <90%

Poor respiratory effort, soft/absent breath sounds

 

Severe: Event that requires urgent action by the patient (or carers) and health professionals to prevent a serious outcome such as hospitalisation or death from asthma