Asthma is a heterogeneous disease, with varied triggers, manifestations, and responsiveness to treatment. Some patients with acute severe asthma presenting to the emergency department have asthma that responds rapidly to aggressive therapy, and they can be discharged quickly; others require admission to the hospital for more prolonged treatment.
http://www.nejm.org/doi/full/10.1056/NEJMcp1003469
http://www.nejm.org/doi/pdf/10.1056/NEJMcp1003469
N Engl J Med 2010;363:755-64.
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