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JUVENILE CRITICAL ILLNESSES 

or TREATMENTS

DEFINITION OF THE DREAD DISEASE -

1.  SEVERE ASTHMA

Severe asthma as evidence by either:

1. An acute attack of severe asthma leading to admission to hospital and assisted ventilation with a mechanical ventilator machine for a continuous period of at least 4 hours to establish control of the asthma attack on the advice of a consultant paediatrician; OR

2. At least 4 of the following features of chronic, severe asthma:

• Continuous daily usage of oral corticosteroids for a minimum period of 6 months on the advice of a consultant paediatrician to control the child's asthma.

• The presence of a Harrison's sulcus chest deformity as confirm by a consultant paediatrician.

• Significant growth impairment that is confirmed and attributed by a consultant paediatrician to the child's chronic, severe asthma (which is for this purpose defined as a height below the third percentile at a routine development examination at the age of at least one year).

• An average of at least three hospital admission per year in the previous two years to control acute attacks of asthma. An admission to hospital will be counted for this purpose if it result in a stay in hospital of at least two nights duration on the advice of a consultant paediatrician.

• Significant and persistent limitation of the peak expiratory flow rate (which is for this purpose defined as maximum peak expiratory flow rate recordings of less than 80% of the rate predicted by a consultant paediatrician for asthma). The recordings are to be made by a consultant paediatrician for at least twelve months. The paediatrician certifying the recording should be satisfied that the child is complying with optimal prescribed asthma medication throughout the period to which the recordings relate.

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