Patients who have a history of fragmented health care, intubation, or hospitalization for asthma and those with mental illness or psychosocial stressors are at increased risk for severe asthma. Objective monitoring of pulmonary status using a peak flow meter is essential in patients with persistent asthma. To prevent life-threatening sequelae, it is important to identify patients with severe asthma who will require aggressive management of exacerbations.
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