PT - JOURNAL ARTICLE AU - Aldington, Sarah AU - Beasley, Richard TI - Asthma exacerbations ยท 5: Assessment and management of severe asthma in adults in hospital AID - 10.1136/thx.2005.045203 DP - 2007 May 01 TA - Thorax PG - 447--458 VI - 62 IP - 5 4099 - http://thorax.bmj.com/content/62/5/447.short 4100 - http://thorax.bmj.com/content/62/5/447.full SO - Thorax2007 May 01; 62 AB - It is difficult to understand why there is such a huge discrepancy between the management of severe asthma recommended by evidence-based guidelines and that observed in clinical practice. The recommendations are relatively straightforward and have been widely promoted both in guidelines and reviews. Specialist physicians need to be more proactive in their implementation of such guidelines through the use of locally derived protocols and assessment sheets, reinforced by audit. The common occurrence of severe asthma and its considerable burden to the community would support such an approach.