Predicting Relapse in Acute Bronchial Asthma

Robert E. Coifman, Angel Gutierrez, Stanley Sherman, Dean Schraufnagel, Rodger S. Dille, Daniel J. Drucker, William Franklin, Margaret A. Fischl, Arthur E. Pitchenik, Laurence B. Gardner

Research output: Contribution to journalLetterpeer-review

2 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)240-242
Number of pages3
JournalNew England Journal of Medicine
Issue number4
StatePublished - Jan 28 1982

ASJC Scopus subject areas

  • Medicine(all)


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