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prognia.

Pulmonology

GOLD COPD Staging

2 inputsPulmonology

Spirometry-based COPD severity (GOLD 1–4).

GOLD COPD Staging calculator

Result

GOLD 2

Moderate — FEV₁ 50–79%; LABA+LAMA; consider ICS if eos ≥300

5 to 120 %

How to use it

  1. 1

    Confirm obstruction. Post-BD FEV₁/FVC < 0.70 required for COPD diagnosis.

  2. 2

    Stage by FEV₁ %. GOLD 1 ≥80%, 2 50–79%, 3 30–49%, 4 <30%.

  3. 3

    Combine with symptoms. GOLD 2024: ABCD groups (symptoms + exacerbations) guide therapy, not staging alone.

When to use it

Spirometry-confirmed COPD
Staging guides inhaler escalation, PR, and oxygen assessment.
LTOT threshold
GOLD 3–4 + SpO₂ ≤92%: assess for LTOT (PaO₂ <7.3 kPa at rest).
Driving restrictions
GOLD 3–4 with persistent hypoxaemia may affect fitness to drive.

A reference for clinicians and students, not medical advice. A score supports a decision; it does not make one. Check every result against the patient in front of you and your local protocol.

At a glance

Specialty
Pulmonology
Inputs
2
Type
Formula

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