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Predictors of asthma control: what can we modify?

Schatz, Michael

Current Opinion in Allergy and Clinical Immunology: June 2012 - Volume 12 - Issue 3 - p 263–268
doi: 10.1097/ACI.0b013e32835335ac
OUTCOME MEASURES: Edited by Henry Milgrom and Ralph Mösges

Purpose of review One strategy to improve asthma control is to identify risk factors for uncontrolled asthma in epidemiologic studies and then consider those risk factors as potential targets for intervention. This article reviews predictors of impairment based on validated tools and predictors of severe asthma exacerbations.

Recent findings Indirectly modifiable risk factors for poor asthma control include older age in adults, lower socioeconomic status, and poor perception of dyspnea. Modifiable risk factors for poor asthma control include allergy triggers, low adherence, comorbidities, absence of specialty care, and various aspects of asthma self-management education.

Summary Intervention strategies are suggested for predictors that are directly or indirectly modifiable. It is hoped that attention to these factors will improve asthma control and reduce the burden of disease.

Department of Allergy, Kaiser Permanente Medical Center, San Diego, California, United States

Correspondence to Michael Schatz, MD, MS Chief, Department of Allergy, Kaiser Permanente Medical Center, 7060 Clairemont Mesa Blvd, San Diego, CA 92111, United States. Tel: +1 858 573 5397; fax: +1 858 573 5612; e-mail:

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