Each of the four below criteria must be met to be eligible for the Complex Asthma service. 

1. Chronicity

• Does this child have recurrent episodes of asthma?

2. Instability

• Have they had an emergency presentation (to any hospital) in the last 12 months?

3. Functional limitation

• Does asthma impact on their school attendance or parent absenteeism from work?
• Do symptoms affect participation in age appropriate activities?

 4. Complexity Any one of the following:

• Frequent ED presentations or admissions: >3 in previous 12 months, despite management as per current RCH Clinical Practice Guidelines: Preschool asthma (1-5 years), Asthma in primary school-aged children (6-11 years) or Asthma in adolescents (12 years and over)
• ICU admissions
• Co-morbidities: e.g. anaphylaxis, cardiac disease, neuro-disability
• Psychosocial complexity: e.g. CALD families, social isolation, poor health literacy, parental health concerns, family violence