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Table 1 Patient criteria for referral to a specialist (1–6)

From: Recommendations from a Canadian Delphi consensus study on best practice for optimal referral and appropriate management of severe asthma

No.

Statement

Agreement (%)

1

Patients who have used 2 or more courses of OCS and/or is using maintenance OCS therapy over the past 12 months despite adherence to high dose ICS/LABA therapy should be referred to a specialist

99

2

Patients who have had 1 or more emergency attendances /unscheduled visits due to asthma over the past 12 months despite adherence to high dose ICS/LABA therapy should be referred to a specialist

98

3

Patients who have ever been intubated or admitted to an ICU (intensive care unit) or high dependency unit despite adherence to high dose ICS/LABA therapy due to their asthma should be referred to a specialist

99

4

Patients who have used 3 or more SABA (short-acting beta2-agonist) inhalers in the past 12 months despite adherence to ICS therapy should be referred to a specialist

79

5

Patients with asthma who remain uncontrolled despite adherence to high dose ICS/LABA should be referred to a specialist

97

6

Health systems (including GPs, respiratory therapists, pharmacists and other healthcare professionals) across Canada should proactively case-find patients who meet criteria and flag for referral to a specialist OR severe asthma service

92