Table 1.
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 |
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]