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Referral Criteria for admission Any feature of life-threatening or near-fatal attack. Any feature of severe attack persisting after initial treatment. Patients with PEFR >75% best or predicted, one hour after initial treatment but where: There are significant symptoms. There are concerns about compliance. The patient is socially isolated/lives alone. Psychological problems exist. There is physical disability or learning difficulties exist. There is previous near-fatal or brittle asthma. There has been exacerbation despite the adequate dose of oral steroid tablets prior to presentation. Presentation is at night. Pregnancy.

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