Table 1: GOLD Staging Criteria for COPD*.
Stage | Severity | FEV1/FVC | FEV1 | Symptoms |
---|---|---|---|---|
I | Mild | < 0.70 | FEV1 ≥ 80% predicted | Symptoms may or may not be present Possible symptoms include chronic cough and sputum production |
II | Moderate | < 0.70 | 50% ≤ FEV1 < 80% predicted | Shortness of breath on exertion Cough and sputum production are sometimes present |
III | Severe | < 0.70 | 30% ≤ FEV1 < 50% predicted | Greater shortness of breath, reduced exercise capacity, fatigue, and repeated exacerbations |
IV | Very severe | < 0.70 | FEV1 < 30% predicted or FEV1 < 50% predicted plus chronic respiratory failure | Respiratory failure, which may also lead to cor pulmonale |
Abbreviations: COPD, chronic obstructive pulmonary disease; FEV1, forced expiratory volume in 1 second; FVC, forced vital capacity; GOLD, Global Initiative for Chronic Obstructive Lung Disease.
Source: Global Initiative for Chronic Obstructive Lung Disease, 2010. (1)