{"id":2394,"date":"2012-08-27T13:01:53","date_gmt":"2012-08-27T13:01:53","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neuadc\/"},"modified":"2025-05-13T20:28:20","modified_gmt":"2025-05-13T20:28:20","slug":"neuadc","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/neuadc\/","title":{"rendered":"Diagnostic Criteria for Difficult-to-Control Asthma"},"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 difficult-to-control asthma can be defined as that which is inadequately or poorly controlled despite an appropriate therapeutic strategy that is adjusted to clinical severity.<br \/>\n<!--more--><br \/>\n<strong>Diagnostic Criteria for Difficult-to-Control Asthma<\/strong><br \/>\nA diagnosis of difficult-to-control asthma is established when, once false difficult-to-control asthma has been ruled out, 2 major criteria or 1 major and 2 minor criteria are met. Criteria are modified in part from the proposal of the American Thoracic Society Workshop on Refractory Asthma<\/p>\n<p><strong>Major criteria<\/strong><\/p>\n<ul>\n<li>Use of oral corticosteroids continuously or for more than 6 months in the last year<\/li>\n<li>Continuous use of inhaled corticosteroids at high doses (budesonide or equivalent &gt;1200 ug\/day or fluticasone &gt;880 ug\/day) alongside another antiasthmatic drug, usually a long-acting B2-adrenergic (LABA)<\/li>\n<\/ul>\n<p><strong>Minor criteria<\/strong><\/p>\n<ul>\n<li>Daily requirement for short-acting B2-adrenergic (SABA) rescue medication<\/li>\n<li>FEV1 less than 80% of theoretical value or greater than 20% variability of PEF<\/li>\n<li>One or more visits to the emergency department in the last year<\/li>\n<li>Three or more courses of oral corticosteroids in the last year<\/li>\n<li>Prior episode of life-threatening asthma<\/li>\n<li>Rapid deterioration of lung function<\/li>\n<\/ul>\n<p>*FEV1 indicates forced expiratory volume in the first second; PEF, peak expiratory flow.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>L\u00f3pez-Vi\u00f1a A, Ag\u00fcero-Balb\u00edn R, Aller-Alvarez JL, Baz\u00fas-Gonz\u00e1lez T, Cosio BG, de Diego-Dami\u00e1 A, Mart\u00ednez-Morag\u00f3n E, Pereira-Vega A, Plaza-Moral V, Rodr\u00edguez-Trigo G, Villa-Asensi JR; Area de Asma-SEPAR. Guidelines for the diagnosis and management of difficult-to-control asthma. Arch Bronconeumol. 2005 Sep;41(9):513-23.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16194515\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Le AV, Simon RA. The Difficult-to-Control Asthmatic: A Systematic Approach. Allergy Asthma Clin Immunol. 2006 Sep 15;2(3):109-16.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20525155\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Aug 27, 2012.<\/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":"open","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":[962,961,1090,16,15,14,13,1089,1091],"class_list":["post-2394","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-asma","tag-asthma","tag-control","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-difficult","tag-dificil"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diagnostic Criteria for Difficult-to-Control Asthma - MedicalCRITERIA.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicalcriteria.com\/web\/neuadc\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:es]Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control[:en]Diagnostic Criteria for Difficult-to-Control Asthma[:] - MedicalCRITERIA.com\" \/>\n<meta property=\"og:description\" content=\"Sorry, this entry is only available in Espa\u00f1ol.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicalcriteria.com\/web\/neuadc\/\" \/>\n<meta property=\"og:site_name\" content=\"MedicalCRITERIA.com\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/medicalcriteria\/\" \/>\n<meta property=\"article:published_time\" content=\"2012-08-27T13:01:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-13T20:28:20+00:00\" \/>\n<meta name=\"author\" content=\"Guillermo Firman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Guillermo Firman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuadc\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuadc\\\/\"},\"author\":{\"name\":\"Guillermo Firman\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\"},\"headline\":\"Diagnostic Criteria for Difficult-to-Control Asthma\",\"datePublished\":\"2012-08-27T13:01:53+00:00\",\"dateModified\":\"2025-05-13T20:28:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuadc\\\/\"},\"wordCount\":583,\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"keywords\":[\"asma\",\"Asthma\",\"Control\",\"Criteria\",\"criterios\",\"Diagnostic\",\"diagnostico\",\"Difficult\",\"dificil\"],\"articleSection\":[\"Pulmonary\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuadc\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuadc\\\/\",\"name\":\"[:es]Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control[:en]Diagnostic Criteria for Difficult-to-Control Asthma[:] - MedicalCRITERIA.com\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#website\"},\"datePublished\":\"2012-08-27T13:01:53+00:00\",\"dateModified\":\"2025-05-13T20:28:20+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuadc\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuadc\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuadc\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#website\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\",\"name\":\"MedicalCRITERIA.com\",\"description\":\"Unifying Concepts\",\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\",\"name\":\"MedicalCRITERIA.com\",\"alternateName\":\"Criterios M\u00e9dicos\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/cropped-mc_1024x500.png\",\"contentUrl\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/cropped-mc_1024x500.png\",\"width\":600,\"height\":257,\"caption\":\"MedicalCRITERIA.com\"},\"image\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/medicalcriteria\\\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\",\"name\":\"Guillermo Firman\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"caption\":\"Guillermo Firman\"},\"sameAs\":[\"http:\\\/\\\/MedicalCRITERIA.com\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"[:es]Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control[:en]Diagnostic Criteria for Difficult-to-Control Asthma[:] - MedicalCRITERIA.com","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medicalcriteria.com\/web\/neuadc\/","og_locale":"en_US","og_type":"article","og_title":"[:es]Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control[:en]Diagnostic Criteria for Difficult-to-Control Asthma[:] - MedicalCRITERIA.com","og_description":"Sorry, this entry is only available in Espa\u00f1ol.","og_url":"https:\/\/medicalcriteria.com\/web\/neuadc\/","og_site_name":"MedicalCRITERIA.com","article_publisher":"https:\/\/www.facebook.com\/medicalcriteria\/","article_published_time":"2012-08-27T13:01:53+00:00","article_modified_time":"2025-05-13T20:28:20+00:00","author":"Guillermo Firman","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Guillermo Firman","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/medicalcriteria.com\/web\/neuadc\/#article","isPartOf":{"@id":"https:\/\/medicalcriteria.com\/web\/neuadc\/"},"author":{"name":"Guillermo Firman","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/person\/ead6734a2f20659131388ba822c7078c"},"headline":"Diagnostic Criteria for Difficult-to-Control Asthma","datePublished":"2012-08-27T13:01:53+00:00","dateModified":"2025-05-13T20:28:20+00:00","mainEntityOfPage":{"@id":"https:\/\/medicalcriteria.com\/web\/neuadc\/"},"wordCount":583,"publisher":{"@id":"https:\/\/medicalcriteria.com\/web\/#organization"},"keywords":["asma","Asthma","Control","Criteria","criterios","Diagnostic","diagnostico","Difficult","dificil"],"articleSection":["Pulmonary"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/medicalcriteria.com\/web\/neuadc\/","url":"https:\/\/medicalcriteria.com\/web\/neuadc\/","name":"[:es]Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control[:en]Diagnostic Criteria for Difficult-to-Control Asthma[:] - MedicalCRITERIA.com","isPartOf":{"@id":"https:\/\/medicalcriteria.com\/web\/#website"},"datePublished":"2012-08-27T13:01:53+00:00","dateModified":"2025-05-13T20:28:20+00:00","breadcrumb":{"@id":"https:\/\/medicalcriteria.com\/web\/neuadc\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medicalcriteria.com\/web\/neuadc\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medicalcriteria.com\/web\/neuadc\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/medicalcriteria.com\/web\/"},{"@type":"ListItem","position":2,"name":"Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control"}]},{"@type":"WebSite","@id":"https:\/\/medicalcriteria.com\/web\/#website","url":"https:\/\/medicalcriteria.com\/web\/","name":"MedicalCRITERIA.com","description":"Unifying Concepts","publisher":{"@id":"https:\/\/medicalcriteria.com\/web\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medicalcriteria.com\/web\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/medicalcriteria.com\/web\/#organization","name":"MedicalCRITERIA.com","alternateName":"Criterios M\u00e9dicos","url":"https:\/\/medicalcriteria.com\/web\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/logo\/image\/","url":"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2025\/03\/cropped-mc_1024x500.png","contentUrl":"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2025\/03\/cropped-mc_1024x500.png","width":600,"height":257,"caption":"MedicalCRITERIA.com"},"image":{"@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/medicalcriteria\/"]},{"@type":"Person","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/person\/ead6734a2f20659131388ba822c7078c","name":"Guillermo Firman","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","caption":"Guillermo Firman"},"sameAs":["http:\/\/MedicalCRITERIA.com"]}]}},"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2394","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=2394"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2394\/revisions"}],"predecessor-version":[{"id":9315,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2394\/revisions\/9315"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}