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Asthma-Related Death Risk Factors
Aka: Asthma-Related Death Risk Factors, Fatal Asthma Attack Risk Factors
- See Also
- Emergency Management of Asthma Exacerbation
- Asthma Exacerbation
- Asthma Education
- Asthma Management
- Asthma Exacerbation Home Management
- Asthma Inpatient Management
- Status Asthmaticus
- Asthma Exacerbation Severity Evaluation
- Precaution
- One third of fatal Asthma attacks occur in children with only Mild Asthma history
- Emphasize Asthma Education and Asthma Action Plan at each visit
- One or more risk factors should prompt early and aggressive evaluation for Asthma Exacerbations
- Have low threshold for hospitalization of Asthma Exacerbation
- Consider Intensive Care unit admission
- Risk Factors: Asthma History predisposing to Asthma-related death
- Patient unable to sense or distinguish Severe Asthma attack
- Prior serious Asthma Exacerbation with ICU admission, loss of consciousness, Respiratory Failure or intubation
- Prior Asthma complications with hypercapnia, Metabolic Acidosis or Pneumothorax
- Two hospitalizations or three emergency department visits in the last year
- Hospitalization or emergency department visit in the last month
- At least two refills of short acting beta agonist (e.g. Albuterol) per month
- Severe Asthma attacks despite longterm systemic, oral Corticosteroids
- Risk Factors: Social History predisposing to Asthma-related death
- Illicit Drug use
- Low socioeconomic status
- Inner city residence
- Risk Factors: Comorbidity predisposing to Asthma-related death
- Underlying cardiopulmonary disease (CAD, CHF, COPD)
- Serious mental health disorders
- Resources
- Guidelines for the Diagnosis and Management of Asthma (EPR-3)
- https://www.nhlbi.nih.gov/guidelines/asthma/
- References