{"id":22,"date":"2009-02-20T23:56:04","date_gmt":"2009-02-20T23:56:04","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pulgina\/"},"modified":"2025-05-14T21:04:52","modified_gmt":"2025-05-14T21:04:52","slug":"pulgina","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/pulgina\/","title":{"rendered":"GINA Classification of Asthma Severity"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The Global Initiative for Asthma (GINA) works with health care professionals and public health officials around the world to reduce asthma prevalence, morbidity, and mortality.\u00a0The gold standard in\u00a0classifying severity\u00a0of\u00a0asthma\u00a0is the\u00a0GINA classification.<\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 424px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 48px;\">\n<td style=\"height: 48px;\"><\/td>\n<td style=\"height: 48px;\"><strong>Symptoms\/Day<br \/>\n<\/strong><\/td>\n<td style=\"height: 48px;\"><strong>Symptoms\/Night<br \/>\n<\/strong><\/td>\n<td style=\"height: 48px;\"><strong>PEF or FEV1<br \/>\n<\/strong><\/td>\n<td style=\"height: 48px;\"><strong>PEF variability<br \/>\n<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 64px;\">\n<td style=\"height: 64px;\"><strong>STEP 1<\/strong><\/p>\n<p>Intermittent<\/td>\n<td style=\"height: 64px;\">&lt; 1 time a week<\/p>\n<p>Asymptomatic and normal PEF between attacks<\/td>\n<td style=\"height: 64px;\">&lt;\/= 2 times a month<\/td>\n<td style=\"height: 64px;\">&gt;\/= 80%<\/td>\n<td style=\"height: 64px;\">&lt; 20%<\/td>\n<\/tr>\n<tr style=\"height: 96px;\">\n<td style=\"height: 96px;\"><strong>STEP 2<\/strong><\/p>\n<p>Mild Persistent<\/td>\n<td style=\"height: 96px;\">&gt; 1 time a week but &lt; 1 time a day<\/p>\n<p>Attacks may affect activity<\/td>\n<td style=\"height: 96px;\">&gt; 2 times a month<\/td>\n<td style=\"height: 96px;\">&gt;\/= 80%<\/td>\n<td style=\"height: 96px;\">20-30%<\/td>\n<\/tr>\n<tr style=\"height: 120px;\">\n<td style=\"height: 120px;\"><strong>STEP 3<\/strong><\/p>\n<p>Moderate Persistent<\/td>\n<td style=\"height: 120px;\">Daily<\/p>\n<p>Attacks affect activity<\/td>\n<td style=\"height: 120px;\">&gt; 1 time a week<\/td>\n<td style=\"height: 120px;\">60%-80%<\/td>\n<td style=\"height: 120px;\">&gt; 30%<\/td>\n<\/tr>\n<tr style=\"height: 96px;\">\n<td style=\"height: 96px;\"><strong>STEP 4<\/strong><\/p>\n<p>Severe Persistent<\/td>\n<td style=\"height: 96px;\">Continuous<\/p>\n<p>Limited physical activity<\/td>\n<td style=\"height: 96px;\">Frequent<\/td>\n<td style=\"height: 96px;\">&lt;\/= 60%<\/td>\n<td style=\"height: 96px;\">&gt; 30%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>PEF, Peak Expiratory Flow; FEV1, Forced Expiratory Volume in the first second.<\/p>\n<ul>\n<li>The presence of one of the features of severity is sufficient to place a patient in that category.<\/li>\n<li>Patients at any level of severity-even intermittent asthma-can have severe attacks.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>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. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15080825\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Bousquet J. Global initiative for asthma (GINA) and its objectives. Clin Exp Allergy. 2000 Jun;30 Suppl 1:2-5. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10849466\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: August 12, 2005<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[962,961,166,167,1916,29,226,180],"class_list":["post-22","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-asma","tag-asthma","tag-clasificacion","tag-classification","tag-gina","tag-pulmonary","tag-severidad","tag-severity"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/22","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=22"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/22\/revisions"}],"predecessor-version":[{"id":9370,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/22\/revisions\/9370"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=22"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=22"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=22"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}