The most common symptom of asthma is an acute attack of breathlessness. But asthma can also result in: a feeling of tightness in the rib cage, difficulty in breathing deeply, wheezing, shortness of breath on exertion, or a cough that does not go away. These symptoms can be triggered or worsened by colds, flu, pollution, cigarette smoke, perfumes, solvents, cold air, or playing sports.
Manifestations of asthma can occur at any time of the day, but they occur especially in the middle of the night or in the early morning (the asthmatic person wakes up because they have trouble breathing or because of the cough ). The intensity of asthma symptoms can be very variable, ranging from simple discomfort to a real feeling of suffocation.
Sometimes even, it is possible that the asthmatic person does not perceive anything and only the respiratory tests show difficulty in the circulation of the air in the bronchi. Some asthmatics, on the contrary, experience permanent difficulty in breathing.
It is an evaluation scale, fundamentally used to assess the severity of bronchiolitis, although it has also been used to assess acute asthma, especially in children. In the case of bronchiolitis, which fundamentally appear in Pediatric Emergencies, an initial assessment often allows starting with a therapy appropriate to the estimated severity, often avoiding unnecessary admissions. A score of 3 or less indicates mild bronchiolitis, whose treatment can be started with physical measures and salbutamol or terbutaline, with adequate evaluation in the next 24-48 hours. A score greater than three implies severe bronchiolitis, which probably requires inhalation of nebulized adrenaline, subsequent evaluation in the following 2 hours, and treatment to be continued according to the changes. worsening already implies hospital admission.
The Wood score has been used clinically but has never been validated. It does not predict morbidity during an asthma attack. A score greater than or equal to 4 defines Acute Severe Asthma.