To the Editor: Fischl et al. are to be commended for their effort to apply quantitative predictors of outcome to emergency-room management of asthma (October 1 issue).* Their recommendation is the two-step clinical algorithm (Fig. 1), in which “Outcome c” equals “ADMIT.” I suggest that if referral to a specialist experienced in the ambulatory management of severe and labile asthma can be made directly from the emergency room, such a referral, together with close follow-up and appropriate changes in therapy, may be a more cost-efficient and effective “Outcome c,” reducing the need for hospitalization and repeat emergency care to.
ASJC Scopus subject areas