TABLE 2

The traits and their associated targeted treatments that form part of the multidimensional assessment

Trait assessedTreatment
Airways
 Airflow limitationBronchodilators (maintenance: LABA/LAMA; rescue: SABA/SAMA/rapid-acting LABA)
 Airway hyperresponsivenessIncrease ICS, LABA
 Mucus hypersecretionMucociliary clearance techniques with a physiotherapist, inhaled hypertonic saline, macrolides
 Type 2 airway inflammationCorticosteroids, anti-IL-5, -13 and -4 monoclonal antibody therapy
 Frequent exacerbationWritten action plans, vaccination, education
 BronchiectasisPhysiotherapy, mucociliary clearance techniques, macrolides, pulmonary rehabilitation, vaccination
 EmphysemaSmoking cessation, endobronchial valves, lung transplantation
 Pathogen colonisationAntibiotics and tailored antibiotic written action plan for infections
 Oxygen desaturationDomiciliary oxygen therapy assessment
 DyspnoeaPulmonary rehabilitation, breath retraining
 Systemic allergic inflammationAnti-IgE monoclonal antibody therapy
Comorbidities
 Dysfunctional breathingBreath retraining
 Vocal cord dysfunctionSpeech pathology intervention, gabapentin/pregabalin, psychology/psychiatry
 AnaemiaHaematinic (iron/B12) supplementation
 Obstructive sleep apnoeaContinuous positive airway pressure, mandibular advancement splint, positional therapy, weight loss
 ObesityCaloric restriction, exercise, bariatric surgery, pharmacotherapy
 Depression and/or anxietyCognitive behavioural therapy, pharmacotherapy
 Osteopenia/osteoporosisPharmacotherapy based on osteoporosis guidelines, vitamin D supplementation, resistance training
Risk factors/behaviours
 Suboptimal adherenceSelf-management education
 Inadequate inhaler techniqueSelf-management education, including demonstration and assessment
 Inhaler device polypharmacyAsthma self-management education
 No written asthma action planProvide written action plan with education and shared decision making
 SmokingSmoking cessation counselling, nicotine replacement therapy, pharmacotherapy
 Underweight and sarcopeniaNutrition and resistance training
 Exercise intolerancePulmonary rehabilitation and physical activity

LABA: long-acting β-agonists; LAMA: long-acting muscarinic antagonists; SABA: short-acting β-agonists; SAMA: short-acting muscarinic antagonists; ICS: inhaled corticosteroids; IL: interleukin.