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GINA Classification of Asthma Severity

 

Symptoms/Day

Symptoms/Night

PEF or FEV1

PEF variability

STEP 1

Intermittent

< 1 time a week

Asymptomatic and normal PEF between attacks

</= 2 times a month

 

>/= 80%

 

< 20%

 

STEP 2

Mild Persistent

> 1 time a week but < 1 time a day

Attacks may affect activity

> 2 times a month

 

>/= 80%

 

20-30%

 

STEP 3

Moderate Persistent

Daily

Attacks affect activity

> 1 time a week

 

60%-80%

 

> 30%

 

STEP 4

Severe Persistent

Continuous

Limited physical activity

Frequent

 

</= 60%

 

> 30%

 

 

PEF, Peak Expiratory Flow; FEV1, Forced Expiratory Volume in the first second.

• The presence of one of the features of severity is sufficient to place a patient in that category.

• Patients at any level of severity-even intermittent asthma-can have severe attacks.

 

Related Criteria

Light Criteria for Exudative Pleural Effusion

GOLD Staging System for Chronic Obstructive Lung Disease (COPD) Severity

Indications for Lung Biopsy

ATS/ERS Criteria for Diagnosis of Idiopathic Pulmonary Fibrosis (IPF) in Absence of Surgical Lung Biopsy

More...

References:

  1. Masoli M, Fabian D, Holt S, Beasley R; Global Initiative for Asthma (GINA) Program. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy. 2004 May;59(5):469-78. [Medline]
  2. Bousquet J. Global initiative for asthma (GINA) and its objectives. Clin Exp Allergy. 2000 Jun;30 Suppl 1:2-5. [Medline]

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Created: August 12, 2005
Last Modified: 10/23/2010

 
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