{"id":"https://openalex.org/W4415943151","doi":"https://doi.org/10.1016/j.opresp.2025.100469","title":"ALAT-SEPAR Consensus on the Definition and Classification of Asthma Exacerbations by Severity: A Move Toward International Standardization","display_name":"ALAT-SEPAR Consensus on the Definition and Classification of Asthma Exacerbations by Severity: A Move Toward International Standardization","publication_year":2025,"publication_date":"2025-10-01","ids":{"openalex":"https://openalex.org/W4415943151","doi":"https://doi.org/10.1016/j.opresp.2025.100469","pmid":"https://pubmed.ncbi.nlm.nih.gov/41426226","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12711655"},"language":"es","primary_location":{"id":"doi:10.1016/j.opresp.2025.100469","doi":"https://doi.org/10.1016/j.opresp.2025.100469","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.opresp.2025.100469","pdf_url":null,"source":{"id":"https://openalex.org/S4210236377","display_name":"Open Respiratory Archives","issn_l":"2659-6636","issn":["2659-6636"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Respiratory Archives","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.opresp.2025.100469","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048929643","display_name":"Ana Mar\u00eda Stok","orcid":"https://orcid.org/0000-0002-1810-9130","observed_orcids":["https://orcid.org/0000-0002-1810-9130"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ana Mar\u00eda Stok","raw_affiliation_strings":["Instituto de Investigaciones en Patolog\u00edas Respiratorias, San Miguel de Tucum\u00e1n, Tucum\u00e1n, Argentina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto de Investigaciones en Patolog\u00edas Respiratorias, San Miguel de Tucum\u00e1n, Tucum\u00e1n, Argentina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114376452","display_name":"Francisco Javier \u00c1lvarez Guti\u00e9rrez","orcid":"https://orcid.org/0000-0002-0175-2824","observed_orcids":["https://orcid.org/0000-0002-0175-2824"]},"institutions":[{"id":"https://openalex.org/I4210153139","display_name":"Hospital Universitario Virgen del Roc\u00edo","ror":"https://ror.org/04vfhnm78","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210153139"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Francisco \u00c1lvarez-Guti\u00e9rrez","raw_affiliation_strings":["Hospital Universitario Virgen del Roc\u00edo, Sevilla, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Universitario Virgen del Roc\u00edo, Sevilla, Spain","institution_ids":["https://openalex.org/I4210153139"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112778260","display_name":"L. B. Caetano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I88273585","display_name":"Universidade Federal de S\u00e3o Paulo","ror":"https://ror.org/02k5swt12","country_code":"BR","type":"education","lineage":["https://openalex.org/I88273585"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Lilian S. Ballini Caetano","raw_affiliation_strings":["Divisi\u00f3n de Neumolog\u00eda, Universidad Federal de Sao Paulo, UNIFESP-EPM, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Divisi\u00f3n de Neumolog\u00eda, Universidad Federal de Sao Paulo, UNIFESP-EPM, Brazil","institution_ids":["https://openalex.org/I88273585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066018951","display_name":"Marina Blanco\u2010Aparicio","orcid":"https://orcid.org/0000-0002-5012-1746","observed_orcids":["https://orcid.org/0000-0002-5012-1746"]},"institutions":[{"id":"https://openalex.org/I4210140856","display_name":"Complexo Hospitalario Universitario A Coru\u00f1a","ror":"https://ror.org/044knj408","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210140856"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Marina Blanco-Aparicio","raw_affiliation_strings":["Hospital Universitario de A Coru\u00f1a, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Universitario de A Coru\u00f1a, Spain","institution_ids":["https://openalex.org/I4210140856"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050249722","display_name":"Francisco Maldonado","orcid":"https://orcid.org/0000-0003-2272-2664","observed_orcids":["https://orcid.org/0000-0003-2272-2664"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francisco Casas-Maldonado","raw_affiliation_strings":["Hospital Universitario Cl\u00ednico San Cecilio, Granada, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Universitario Cl\u00ednico San Cecilio, Granada, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Carmen Cano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102695","display_name":"Instituto Nacional de Enfermedades Respiratorias","ror":"https://ror.org/017fh2655","country_code":"MX","type":"facility","lineage":["https://openalex.org/I4210095685","https://openalex.org/I4210102695"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Carmen Cano","raw_affiliation_strings":["Cl\u00ednica de Asma, Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas, Ciudad de M\u00e9xico, Mexico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cl\u00ednica de Asma, Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas, Ciudad de M\u00e9xico, Mexico","institution_ids":["https://openalex.org/I4210102695"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113021547","display_name":"Patricia Fern\u00e1ndez","orcid":"https://orcid.org/0009-0000-6252-3198","observed_orcids":["https://orcid.org/0009-0000-6252-3198"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Patricia Fern\u00e1ndez","raw_affiliation_strings":["CIMER Centro de Investigaci\u00f3n en Medicina Respiratoria, Chile"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CIMER Centro de Investigaci\u00f3n en Medicina Respiratoria, Chile","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086530672","display_name":"Gabriel Garc\u00eda","orcid":"https://orcid.org/0000-0002-4268-4960","observed_orcids":["https://orcid.org/0000-0002-4268-4960"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gabriel Garc\u00eda","raw_affiliation_strings":["Centro en Investigaciones Respiratoria de La Plata, CEPIR, La Plata, Argentina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro en Investigaciones Respiratoria de La Plata, CEPIR, La Plata, Argentina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036486081","display_name":"Alicia Padilla Galo","orcid":"https://orcid.org/0000-0003-4625-2716","observed_orcids":["https://orcid.org/0000-0003-4625-2716"]},"institutions":[{"id":"https://openalex.org/I4210157481","display_name":"Hospital Cl\u00ednico Universitario Virgen de la Victoria","ror":"https://ror.org/05xxs2z38","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I158283456","https://openalex.org/I4210157481"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Alicia Padilla-Galo","raw_affiliation_strings":["Hospital Universitario Virgen de la Victoria, M\u00e1laga, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Universitario Virgen de la Victoria, M\u00e1laga, Spain","institution_ids":["https://openalex.org/I4210157481"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020379108","display_name":"Vicente Plaza","orcid":"https://orcid.org/0000-0003-2567-5496","observed_orcids":["https://orcid.org/0000-0003-2567-5496"]},"institutions":[{"id":"https://openalex.org/I2801795740","display_name":"Hospital de Sant Pau","ror":"https://ror.org/059n1d175","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I2801795740"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Vicente Plaza","raw_affiliation_strings":["Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital de la Santa Creu i Sant Pau, Barcelona, Spain","institution_ids":["https://openalex.org/I2801795740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078796794","display_name":"Ignacio Zabert","orcid":"https://orcid.org/0000-0002-8693-5901","observed_orcids":["https://orcid.org/0000-0002-8693-5901"]},"institutions":[{"id":"https://openalex.org/I70368782","display_name":"Universidad Nacional del Comahue","ror":"https://ror.org/02zvkba47","country_code":"AR","type":"education","lineage":["https://openalex.org/I70368782"]}],"countries":["AR"],"is_corresponding":false,"raw_author_name":"Ignacio Zabert","raw_affiliation_strings":["Fisiolog\u00eda Humana, Facultad de Ciencias M\u00e9dicas, Universidad Nacional del Comahue, Argentina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fisiolog\u00eda Humana, Facultad de Ciencias M\u00e9dicas, Universidad Nacional del Comahue, Argentina","institution_ids":["https://openalex.org/I70368782"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062831301","display_name":"Jos\u00e9 Gregorio Soto Campos","orcid":"https://orcid.org/0000-0003-4052-0417","observed_orcids":["https://orcid.org/0000-0003-4052-0417"]},"institutions":[{"id":"https://openalex.org/I4405252667","display_name":"Hospital Universitario de Jerez","ror":"https://ror.org/01fyp5w42","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I158283456","https://openalex.org/I4210152975","https://openalex.org/I4405252667","https://openalex.org/I918821925"]}],"countries":["ES"],"is_corresponding":true,"raw_author_name":"Jos\u00e9 Gregorio Soto-Campos","raw_affiliation_strings":["Hospital universitario de Jerez, C\u00e1diz, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital universitario de Jerez, C\u00e1diz, Spain","institution_ids":["https://openalex.org/I4405252667"]}]}],"institutions":[],"countries_distinct_count":4,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5062831301"],"corresponding_institution_ids":["https://openalex.org/I4405252667"],"apc_list":{"value":2060,"currency":"USD","value_usd":2060},"apc_paid":{"value":2060,"currency":"USD","value_usd":2060},"fwci":1.0563,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.72181045,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"7","issue":"4","first_page":"100469","last_page":"100469"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12208","display_name":"Occupational exposure and asthma","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/asthma-exacerbations","display_name":"asthma exacerbations","score":0.8650000095367432},{"id":"https://openalex.org/keywords/standardized-definitions","display_name":"standardized definitions","score":0.5450000166893005},{"id":"https://openalex.org/keywords/systemic-corticosteroids","display_name":"systemic corticosteroids","score":0.781000018119812},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.9700000286102295},{"id":"https://openalex.org/keywords/symptom-worsening","display_name":"symptom worsening","score":0.5709999799728394},{"id":"https://openalex.org/keywords/clinical-trial-comparability","display_name":"clinical trial comparability","score":0.6930000185966492},{"id":"https://openalex.org/keywords/delphi-consensus","display_name":"Delphi consensus","score":0.5350000262260437},{"id":"https://openalex.org/keywords/asthma-treatment-efficacy","display_name":"asthma treatment efficacy","score":0.6169999837875366}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8044000267982483},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.6894999742507935},{"id":"https://openalex.org/C60641444","wikidata":"https://www.wikidata.org/wiki/Q841602","display_name":"Delphi method","level":2,"score":0.6622999906539917},{"id":"https://openalex.org/C2909082789","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma exacerbations","level":3,"score":0.6086999773979187},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5997999906539917},{"id":"https://openalex.org/C2776042228","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma","level":2,"score":0.5889999866485596},{"id":"https://openalex.org/C188087704","wikidata":"https://www.wikidata.org/wiki/Q369577","display_name":"Standardization","level":2,"score":0.5634999871253967},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.44940000772476196},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.43779999017715454},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.4169999957084656},{"id":"https://openalex.org/C2908861384","wikidata":"https://www.wikidata.org/wiki/Q203337","display_name":"Pulmonologists","level":2,"score":0.4081999957561493},{"id":"https://openalex.org/C2779495148","wikidata":"https://www.wikidata.org/wiki/Q487378","display_name":"Delphi","level":2,"score":0.38769999146461487},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.3472000062465668},{"id":"https://openalex.org/C3018080372","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma management","level":3,"score":0.31470000743865967},{"id":"https://openalex.org/C2780966255","wikidata":"https://www.wikidata.org/wiki/Q5474306","display_name":"Foundation (evidence)","level":2,"score":0.3116999864578247},{"id":"https://openalex.org/C3018587741","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung function","level":3,"score":0.30660000443458557},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2904999852180481},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.28610000014305115},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.2696000039577484},{"id":"https://openalex.org/C3017605391","wikidata":"https://www.wikidata.org/wiki/Q1021509","display_name":"Consensus conference","level":2,"score":0.2671000063419342},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.2554999887943268},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.25279998779296875}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.opresp.2025.100469","doi":"https://doi.org/10.1016/j.opresp.2025.100469","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.opresp.2025.100469","pdf_url":null,"source":{"id":"https://openalex.org/S4210236377","display_name":"Open Respiratory Archives","issn_l":"2659-6636","issn":["2659-6636"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Respiratory Archives","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12711655","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12711655/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12711655/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Respir Arch","raw_type":"Text"},{"id":"pmid:41426226","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41426226","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open respiratory archives","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:9f46865567384516bd8b888ae8929e05","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/9f46865567384516bd8b888ae8929e05","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Open Respiratory Archives, Vol 7, Iss 4, Pp 100469- (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.opresp.2025.100469","doi":"https://doi.org/10.1016/j.opresp.2025.100469","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.opresp.2025.100469","pdf_url":null,"source":{"id":"https://openalex.org/S4210236377","display_name":"Open Respiratory Archives","issn_l":"2659-6636","issn":["2659-6636"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Respiratory Archives","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F1289700569","display_name":"Sociedad Madrile\u00f1a de Neumolog\u00eda y Cirug\u00eda Tor\u00e1cica","ror":"https://ror.org/0379ar820"},{"id":"https://openalex.org/F4320308401","display_name":"American Association for Thoracic Surgery","ror":"https://ror.org/048f8az88"},{"id":"https://openalex.org/F4320324494","display_name":"Sociedad Espa\u00f1ola de Neumolog\u00eda y Cirug\u00eda Tor\u00e1cica","ror":"https://ror.org/028h6g607"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4415943151.pdf","grobid_xml":"https://content.openalex.org/works/W4415943151.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W2011828164","https://openalex.org/W2046068945","https://openalex.org/W2098276532","https://openalex.org/W2601675613","https://openalex.org/W2612283959","https://openalex.org/W2690165630","https://openalex.org/W2732144954","https://openalex.org/W2766234520","https://openalex.org/W2767749209","https://openalex.org/W2792891439","https://openalex.org/W2888063502","https://openalex.org/W2971197956","https://openalex.org/W2974405544","https://openalex.org/W3006632029","https://openalex.org/W3029367102","https://openalex.org/W3032607018","https://openalex.org/W3084377968","https://openalex.org/W3089128525","https://openalex.org/W3092849554","https://openalex.org/W3109451132","https://openalex.org/W3195804343","https://openalex.org/W4395659622"],"related_works":["https://openalex.org/W7122734955","https://openalex.org/W7165360953","https://openalex.org/W3022933004","https://openalex.org/W1965301392","https://openalex.org/W2038233715","https://openalex.org/W7122463956","https://openalex.org/W1807951204","https://openalex.org/W2410947959","https://openalex.org/W2011828164","https://openalex.org/W3216003157"],"abstract_inverted_index":{"Asthma":[0],"exacerbation":[1,130],"is":[2,20],"a":[3,13,39,102,173,352],"significant":[4],"clinical":[5,180,197,218],"event":[6],"that":[7,176],"occurs":[8],"with":[9,38],"varying":[10],"severity,":[11,79],"yet":[12],"set":[14],"of":[15,25,48,63,78,95,108,125,129,205,213,225],"universally":[16],"accepted":[17],"standardized":[18,174],"definitions":[19,128,137,171],"still":[21],"needed.":[22],"The":[23,55,135],"aim":[24],"this":[26,36,112],"consensus":[27,56,187],"developed":[28],"by":[29,67],"ALAT":[30],"and":[31,52,86,111,127,161,182,199,220],"SEPAR":[32],"was":[33,57,113],"to":[34,71,100,115],"fill":[35],"gap":[37],"validated":[40],"proposal":[41],"for":[42,75,89,191],"classifying":[43],"asthma":[44,109,206],"exacerbations":[45,141,149,164],"into":[46],"levels":[47],"severity:":[49],"non-severe,":[50],"severe,":[51],"very":[53,162],"severe.":[54],"based":[58],"on":[59,104,202],"an":[60],"in-depth":[61],"review":[62],"the":[64,68,87,105,116,123,189,203,211,222],"literature":[65],"conducted":[66],"scientific":[69],"committee":[70],"identify":[72],"key":[73],"parameters":[74],"each":[76],"level":[77],"including":[80,154],"worsening":[81],"symptoms,":[82],"respiratory":[83],"function":[84],"changes,":[85],"need":[88],"specific":[90],"medical":[91],"interventions.":[92],"A":[93],"total":[94],"67":[96,335],"publications":[97],"were":[98],"analyzed":[99],"generate":[101],"questionnaire":[103],"defining":[106],"elements":[107],"exacerbations,":[110],"put":[114],"vote.":[117],"Twenty-eight":[118],"international":[119],"experts":[120],"participated":[121],"in":[122,145,195,216],"validation":[124],"characteristics":[126],"severity":[131],"following":[132],"Delphi":[133],"methodology.":[134],"resulting":[136],"clearly":[138],"distinguish":[139],"non-severe":[140],"(requiring":[142,150],"minor":[143],"adjustments":[144],"treatment)":[146],"from":[147],"severe":[148,163],"more":[151],"intensive":[152,168],"interventions,":[153],"longer":[155],"systemic":[156],"corticosteroid":[157],"use":[158],"or":[159],"hospitalization)":[160],"(life-threatening":[165],"events":[166],"requiring":[167],"care).":[169],"These":[170],"provide":[172],"framework":[175],"facilitates":[177],"comparison":[178],"between":[179],"trials":[181],"optimizes":[183],"patient":[184],"care.":[185],"This":[186],"lays":[188],"foundation":[190],"unifying":[192],"management":[193],"criteria":[194],"global":[196,454,484],"practice":[198],"fostering":[200],"research":[201],"efficacy":[204],"treatments.":[207],"It":[208],"also":[209],"underlines":[210],"importance":[212],"accurate":[214],"classification":[215],"improving":[217],"outcomes":[219],"reducing":[221],"overall":[223],"burden":[224],"disease.":[226],"La":[227],"exacerbaci\u00f3n":[228,369],"de":[229,242,254,261,282,298,313,318,327,344,347,361,364,366,368,389,402,408,448,462,471,485],"asma":[230,348],"es":[231],"un":[232,339,414,424],"acontecimiento":[233],"cl\u00ednico":[234],"significativo":[235],"que":[236,306,349,382,392,412,427],"var\u00eda":[237],"en":[238,280,294,358,386,450],"gravedad":[239,367],"y":[240,257,263,287,324,363,407,417,434,455,480],"carece":[241],"definiciones":[243,365,374,422],"estandarizadas":[244],"universalmente":[245],"aceptadas.":[246],"Este":[247,440],"consenso,":[248],"desarrollado":[249],"por":[250,302],"la":[251,258,299,325,359,429,436,451,457,460,469,482,486],"Asociaci\u00f3n":[252],"Latinoamericana":[253],"T\u00f3rax":[255],"(ALAT)":[256],"Sociedad":[259],"Espa\u00f1ola":[260],"Neumolog\u00eda":[262],"Cirug\u00eda":[264],"Tor\u00e1cica":[265],"(SEPAR),":[266],"busca":[267],"llenar":[268],"este":[269],"vac\u00edo":[270],"mediante":[271],"una":[272,295,472],"propuesta":[273],"validada":[274],"para":[275,310,337,445,464,475],"clasificar":[276],"las":[277,345,378,390,409,443],"exacerbaciones":[278,346,379],"asm\u00e1ticas":[279],"niveles":[281],"gravedad:":[283],"no":[284,380],"graves,":[285,381,391,411],"graves":[286],"muy":[288,410],"graves.":[289],"El":[290],"consenso":[291,441],"se":[292,333],"bas\u00f3":[293],"revisi\u00f3n":[296],"exhaustiva":[297],"literatura":[300],"realizada":[301],"el":[303,316,387,398,465],"Comit\u00e9":[304],"Cient\u00edfico,":[305],"identific\u00f3":[307],"par\u00e1metros":[308],"clave":[309],"cada":[311],"nivel":[312],"gravedad,":[314],"como":[315,397],"deterioro":[317],"los":[319,477],"s\u00edntomas,":[320],"alteraciones":[321],"funcionales":[322],"respiratorias":[323],"necesidad":[326],"intervenciones":[328,394],"m\u00e9dicas":[329],"espec\u00edficas.":[330],"En":[331],"total,":[332],"analizaron":[334],"publicaciones":[336],"generar":[338],"cuestionario":[340],"sobre":[341,459],"elementos":[342],"definitorios":[343],"fue":[350],"sometido":[351],"votaci\u00f3n.":[353],"Veintiocho":[354],"expertos":[355],"internacionales":[356],"participaron":[357],"validaci\u00f3n":[360],"caracter\u00edsticas":[362],"siguiendo":[370],"metodolog\u00eda":[371],"Delphi.":[372],"Las":[373],"resultantes":[375],"distinguen":[376],"claramente":[377],"requieren":[383],"ajustes":[384],"menores":[385],"tratamiento,":[388],"demandan":[393],"m\u00e1s":[395,400],"intensivas,":[396],"uso":[399],"prolongado":[401],"corticoesteroides":[403],"sist\u00e9micos":[404],"u":[405],"hospitalizaci\u00f3n,":[406],"implican":[413],"riesgo":[415],"vital":[416],"necesitan":[418],"cuidados":[419],"intensivos.":[420],"Estas":[421],"proporcionan":[423],"marco":[425],"homog\u00e9neo":[426],"facilita":[428],"comparaci\u00f3n":[430],"entre":[431],"estudios":[432],"cl\u00ednicos":[433,479],"optimiza":[435],"atenci\u00f3n":[437],"al":[438],"paciente.":[439],"establece":[442],"bases":[444],"unificar":[446],"criterios":[447],"manejo":[449],"pr\u00e1ctica":[452],"cl\u00ednica":[453],"promover":[456],"investigaci\u00f3n":[458],"eficacia":[461],"tratamientos":[463],"asma.":[466],"Adem\u00e1s,":[467],"subraya":[468],"importancia":[470],"clasificaci\u00f3n":[473],"precisa":[474],"mejorar":[476],"resultados":[478],"reducir":[481],"carga":[483],"enfermedad.":[487]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2025-11-06T00:00:00"}
