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. 2015 Jan 22;116(4):291–307. doi: 10.1111/bcpt.12366

Table 2.

Classification of the severity of obstruction and the clinical severity of chronic obstructive pulmonary disease (COPD)

Severity of obstruction (assessed after bronchodilation) Clinical severity of COPD
Mild FEV1 ≥ 80% predicted Good quality of life (CAT® < 10), no frequent exacerbations and FEV1 >50% predicted
Moderate 50% ≤ FEV1 < 80% One of the following:
• FEV1 < 50% predicted
• At least two exacerbations a year or one hospitalization because of COPD
• COPD has a medium impact on life (e.g. CAT® ≥ 10 points) or causes poor quality of life or impaired exercise tolerance
Severe 30% ≤ FEV1 < 50%
Very severe FEV1 < 30% One of the following:
• FEV1 < 30% predicted
• Chronic respiratory failure
• Frequent exacerbations or hospitalizations regardless of treatment to COPD
• COPD has a high or very high impact on life (e.g. CAT® ≥ 20 points) or causes very poor quality of life or exercise tolerance