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GOLD Patient Groups in Chronic Obstructive Lung Disease (COLD, COPD)

Description

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) separates patients into risk groups based on clinical findings. The patient group can be used for management planning.


 

Parameters:

(1) symptoms, using the Medical Research Council Dyspnea (MRCD) classification or COPD Assessment Test (CAT)

(2) airflow limitations (using GOLD spriometry classification)

(3) exacerbations

 

Airflow Limit

Symptoms

Exacerbations

Group

GOLD 1 or 2 (low risk)

MRCD 0 or 1

CAT < 10

low symptoms

<=1 per year and no hospitalization (low risk)

A

GOLD 1 or 2 (low risk)

MRCD >= 2

CAT >= 10

high symptoms

<=1 per year and no hospitalization (low risk)

B

GOLD 3 or 4 (high risk)

MRCD 0 or 1

CAT < 10

low symptoms

>=2 per year or >= 1 hospitalization (high risk)

C

GOLD 3 or 4 (high risk)

MRCD >= 2

CAT >= 10

high symptoms

>=2 per year or >= 1 hospitalization (high risk)

D

 


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Specialty

ICD-10