High-Risk Asthma Clinic: Putting It All Together

  • Navitha Ramesh
  • Fernando Holguin
  • Sandhya KhuranaEmail author
Part of the Respiratory Medicine book series (RM)


Severe asthma makes up for less than 10% of all asthma but is associated with disproportionately high healthcare costs. In 2019, asthma is not a one-size-fits-all disease. Heterogeneity in asthma is becoming increasingly evident. Not every patient with severe asthma has the same underlying pathophysiology or responds in a similar manner to targeted therapy. Keeping this in mind, a multidimensional and interdisciplinary approach to the management of severe asthma is desired. The role of patient-care teams in management of chronic diseases has become increasingly accepted, and this is particularly true for difficult or severe asthma. A high-risk asthma service can provide patients with state-of-the-art, evidence-based clinical management. This chapter provides an overview of complexities of “difficult-to-control” asthma and a practical systematic approach to its management.


High-risk asthma clinic Severe asthma Difficult asthma Severe asthma clinic Structured evaluation Multidisciplinary 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Navitha Ramesh
    • 1
    • 2
  • Fernando Holguin
    • 3
  • Sandhya Khurana
    • 4
    Email author
  1. 1.Geisinger Commonwealth School of MedicineScrantonUSA
  2. 2.Geisinger Wyoming Valley Medical CenterWilkes-BarreUSA
  3. 3.Asthma Clinical & Research Programs, Pulmonary Sciences and Critical CareUniversity of ColoradoDenverUSA
  4. 4.Mary Parkes Center for Asthma, Allergy & Pulmonary Care, University of Rochester School of MedicineRochesterUSA

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