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Table 1 Risk classification of COPD patients according to the 2011 GOLD Update [1]

From: Chronic Obstructive Pulmonary Disease heterogeneity: challenges for health risk assessment, stratification and management

RISK

GOLD Classification

3-4

C

High Risk,

Less Symptoms

D

High Risk,

More Symptoms

≥2

RISK

Exacerbation History

 

1-2

A

Low Risk,

Less Symptoms

B

Low Risk,

More Symptoms

0-1

 

mMRC 0-1

mMRC ≥ 2

CAT < 10

CAT ≥ 10

  1. The 2011 COPD Update [1] defines four risk categories for COPD patients (A to D) depending upon: i) symptoms (modified dyspnea score from th Medical Research Council, mMRC) or CAT questionnaire; ii) spirometric classification: GOLD I: FEV1 ≥ 80% pred; GOLD II: 50% ≤ FEV1 < 80% pred; GOLD III: 30% ≤ FEV1 < 50% pred; and, GOLD IV: FEV1 < 30% and/or PaO2 < 60 mmHg breathing FIO2 0.21); and, iii) frequency of exacerbations per year. Recent reports have assessed the predictive value of this classification [16, 17]