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Reduction of the risk of severe asthma attacks is a major goal of current guidelines [1]. The observation that blood eosinophils and exhaled nitric oxide fraction ( F ENO) identify the higher risk type-2 inflammatory phenotype in asthma is potentially relevant to this goal [2]. The prototype ORACLE scale based on two simple measures of type 2 airway inflammation (blood eosinophils and F ENO) quantifies the excess risk conferred by raised biomarkers that is removed by type-2 anti-inflammatory treatment in trial populations The authors acknowledge colleagues and patients in the Oxford University Hospitals Foundation Trust's severe asthma clinic for inspiration, help and proofreading.
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Couillard et al. (2022) studied this question.
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