The diagnosis of asthma in childhood does not usually have difficulties, based, fundamentally, on the characteristic signs and symptoms. The management of the disease is based on the evaluation of the degree of control and future risk, by national and international guidelines and consensus. However, the identification of severe asthma can lead to greater difficulty, either because the symptoms are underestimated by parents and/or adolescents and by health personnel, or due to a lack of resources for a more adequate evaluation. The identification of the lack of control, of the severity of the disease and knowledge of referral criteria is fundamental for the Primary Care pediatrician.
Keywords: Patient acuity. Asthma/therapy. Asthma.