Classification Flashcards
Gold 1 - mild
FEv1 >80
Gold 2 - moderate
FEV1 50-79
Gold 3 - Severe
FEV1 30-49
Gold 4 - Very Severe
FEV1 <30
mMRC Grade 0
MRC 1
Not troubled by breathlessness except with strenuous exercise
mMRC Grade 1
Troubled by shortness of breath when hurrying on the level or walking up a slight hill
mMRC Grade 2
MRC 3
Walks slower than people of the same age on the level because of breathlessness or stops for breath while walking at own pace on the level
mMRC Grade 3
MRC 4
Stops for breath after walking 100 yards (90m) or after a few minutes on the level
mMRC Grade 4
MRC 5
Too breathless to leave the house or breathless when dressing or undressing
Mild COPD Gold
mMRC 0-1 CAT <10
Moderate-Severe COPD Gold
mMRC >2 CAT >10
What is the BORG scale
Measurement of perceived breathlessness from 0-10 with 0 being nothing at all, 3 being Moderate, 5 being severe and 10 being very very severe
6MWT
lower than 350 meters is considered abnormal and is associated with increased mortality
Acute Ventilatory Failure
Hypercania (PCO2 > 45) and acidosis (PH < 7.35)
Mild hypoxemia PaO2
PaO2 60-79 mmHg
Moderate hypoxemia PaO2
PaO2 45-59 mmHg
Severe hypoxemia PaO2
PaO2 <45 mmHg
Chronic Respiratory Failure
PaO2 lower than 60, PCO2 higher than 50, pH normal
BODE Index
BMI, Airflow Obstruction, Dyspnea (mMRC), Exercise capacity (6MWT)
COPD related mortality
BODE Variable 0
FEV1 >65, mMRC 0-1, 6MWT >350, BMI>21
BODE Variable 1
FEV1 50-65, mMRC 2, 6MWT 250-349, BMI < 21
BODE Variable 2
FEV1 35-49, mMRC 3, 6MWT 150-249
BODE Variable 3
FEV1 <35, mMRC 4, 6MWT <149
BODE Quartile 1
Score 0-2, 4 year survival 80%
BODE Quartile 2
Score 3-4, 4 year survival 67%
BODE Quartile 3
Score 5-6, 4 year survival 57%
BODE Quartile 4
Score 7-10, 4 year survival 18%
CXR Emphysema
Chest wall widened, diaphragm flattened, lung fields have fainter and fewer vascular markings. Heart may look long, narrow and vertical
CXR Chronic Bronchitis
more vascular markings, more nonspecific bronchial markings, walls of bronchi look thicker, heart may appear enlarged
CTS Mild COPD
MRC 2
CTS Moderate COPD
MRC 3-4
CTS Severe COPD
MRC 5