Components of severityClassification of asthma severity ≥ 12 years of age*
IntermittentPersistent-mildPersistent-moderatePersistent-severe
Impairment
Symptoms≤ 2 days per week> 2 days per week, but not dailyDailyThroughout the day
Nighttime awakenings≤ 2 times per month3 to 4 times per month> Once per week, but not nightlyOften 7 times per week
Short-acting beta agonist use for symptom control (not for prevention of exercise-induced bronchospasm)≤ 2 days per week> 2 days per week, but not more than once per dayDailySeveral times per day
Interference with normal activityNoneMinor limitationSome limitationExtremely limited
Lung functionNormal FEV1 between exacerbations; FEV1 >80 percent of predicted; FEV1/FVC normalFEV1 ≥ 80 percent of predicted; FEV1/FVC normalFEV1 > 60 percent but < 80 percent of predicted; FEV1/FVC reduced 5 percentFEV1 < 60 percent of predicted; FEV1/FVC reduced >5 percent
Risk
Exacerbations requiring oral systemic corticosteroids0 to 1 per year†≥ 2 per year†≥ 2 per year†≥ 2 per year†
Consider severity and interval since last exacerbation; frequency and severity may fluctuate over time for patients in any severity category; relative annual risk of exacerbations may be related to FEV1