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Practical Pearls from the GOLD Guidelines on COPD

By Juan Garcia, MD, FCCP; and Stephen Jenkinson, MD, FCCP

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Table 2—Therapy at Each Stage of COPD
Severity Symptoms Spirometry Treatment
Stage 0: At risk Cough, sputum Normal Avoidance of risk factors
Stage I: Mild With or without cough, sputum FEV1/FVC < 70%; FEV1 ≥ 80% predicted Short-acting bronchodilator prn
Stage II: Moderate With or without cough, sputum, dyspnea FEV1/FVC < 70%; FEV1 between 30 and 80% predicted Regular bronchodilators; short-acting bronchodilators prn; consider inhaled glucocorticosteroid; rehabilitation
Stage III: Severe Cough, sputum, dyspnea FEV1/FVC < 70%; FEV1<30% predicted or FEV1 < 50% predicted plus respiratory failure or right heart failure As above; long-term oxygen therapy if indicated; consider surgical options

 

 

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