Table 1.
When assessing risk, choose the highest risk according to GOLD grade or exacerbation history. One or more hospitalizations for COPD exacerbations should be considered high risk. | |||||
---|---|---|---|---|---|
Patient Category | Characteristic | Spirometric Classification | Exacerbations Per year | CAT Score | mMRC Score |
A | Low risk, less symptoms | GOLD 1–2 | ≤ 1 | < 10 | 0–1 |
B | Low risk, more symptoms | GOLD 1–2 | ≤ 1 | ≥ 10 | ≥ 2 |
C | High risk, less symptoms | GOLD 3–4 | ≥ 2 | < 10 | 0–1 |
D | High risk, more symptoms | GOLD 3–4 | ≥ 2 | ≥ 10 | ≥ 2 |
CAT = COPD Assessment Test; COPD = chronic obstructive pulmonary disease; GOLD = Global Initiative for Chronic Obstructive Lung Disease; mMRC = Modified Medical Research Council Dyspnea Scale