{"id":46,"date":"2009-02-25T11:37:40","date_gmt":"2009-02-25T11:37:40","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pulcopd\/"},"modified":"2025-05-14T21:01:49","modified_gmt":"2025-05-14T21:01:49","slug":"pulcopd","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/pulcopd\/","title":{"rendered":"GOLD Staging System for Chronic Obstructive Lung Disease (COPD) Severity"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">The European Respiratory Society (ERS) diagnostic criteria for COPD include the following symptoms: coughing, sputum production and\/or dyspnoea, as well as a history of exposure to risk factors for COPD. The diagnosis is confirmed by a post-bronchodilator FEV1\/FVC &lt; 0.7 in spirometry, as sign of the airflow limitation that is not fully reversible.<\/p>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\"><strong>GOLD Staging System for COPD Severity<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 9.93936%; text-align: center;\"><strong>Stage<\/strong><\/td>\n<td style=\"width: 27.6363%;\"><strong>Description<\/strong><\/td>\n<td style=\"width: 62.4242%;\"><strong>Findings (based on postbronchodilator FEV1)<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 9.93936%; text-align: center;\">0<\/td>\n<td style=\"width: 27.6363%;\">At risk<\/td>\n<td style=\"width: 62.4242%;\">Risk factors and chronic symptoms but normal spirometry<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 9.93936%; text-align: center;\">I<\/td>\n<td style=\"width: 27.6363%;\">Mild<\/td>\n<td style=\"width: 62.4242%;\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1\/FVC ratio less than 70 percent<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1 at least 80 percent of predicted value<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">May have symptoms<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 9.93936%; text-align: center;\">II<\/td>\n<td style=\"width: 27.6363%;\">Moderate<\/td>\n<td style=\"width: 62.4242%;\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1\/FVC ratio less than 70 percent<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1 50 percent to less than 80 percent of predicted value<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">May have chronic symptoms<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 9.93936%; text-align: center;\">III<\/td>\n<td style=\"width: 27.6363%;\">Severe<\/td>\n<td style=\"width: 62.4242%;\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1\/FVC ratio less than 70 percent<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1 30 percent to less than 50 percent of predicted value<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">May have chronic symptoms<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 9.93936%; text-align: center;\">IV<\/td>\n<td style=\"width: 27.6363%;\">Very severe<\/td>\n<td style=\"width: 62.4242%;\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1\/FVC ratio less than 70 percent<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1 less than 30 percent of predicted value<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">or<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">FEV1 less than 50 percent of predicted value plus severe chronic symptoms<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\">GOLD = Global Initiative for Chronic Obstructive Lung Disease; COPD = chronic obstructive pulmonary disease; FEV1 = forced expiratory volume in one second; FVC = forced vital capacity.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Updated 2005. Accessed online April 01, 2006.\u00a0<a href=\"https:\/\/goldcopd.org\/\" target=\"_blank\" rel=\"noopener\">[Summary]<\/a><\/li>\n<li>Dewar M, Curry RW Jr. Chronic obstructive pulmonary disease: diagnostic considerations. Am Fam Physician. 2006 Feb 15;73(4):669-76.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16506711\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Pierson DJ. Clinical practice guidelines for chronic obstructive pulmonary disease: a review and comparison of current resources. Respir Care. 2006 Mar;51(3):277-88.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16533418\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Apr 01, 2006<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[146,1860,145,51,50,1859,1071,1858,588,1334,1333,234,29,226,180,494,835,507],"class_list":["post-46","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-chronic","tag-copd","tag-cronica","tag-disease","tag-enfermedad","tag-epoc","tag-estadio","tag-gold","tag-lung","tag-obstructiva","tag-obstructive","tag-pulmonar","tag-pulmonary","tag-severidad","tag-severity","tag-sistema","tag-staging","tag-system"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/46","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=46"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/46\/revisions"}],"predecessor-version":[{"id":9074,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/46\/revisions\/9074"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=46"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=46"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=46"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}