Guideline | Resources |
COPD Diagnosis: 2022 GOLD Guideline | epocrates Synopsis |
Key Points
GOLD advocates active case-finding, not general-population spirometry screening. Postbronchodilator FEV1/FVC <0.70 required for dx; if ratio 0.6 to 0.8, repeat on separate occasion to confirm dx. FEV1 no longer used to categorize GOLD groups. Focus on sx burden, exacerbation hx. Test for SARS-CoV-2 if any sx could be COVID-19 related, even if sx mild.
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GOLD. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. 2022 Report.
Epocrates Guideline Synopsis Last Update:
Jan 4, 2022
Publication Year:
2022
Source:
GOLD
- Global Initiative for Chronic Obstructive Lung Disease
Abbreviations
A1AT | Alpha-1 antitrypsin |
BD | bronchodilator |
CA | cancer |
DDx | differential diagnosis |
DLCO | diffusing capacity |
exac | exacerbation(s) |
HF | heart failure |
FEV1 | forced expiratory volume in 1 second |
FVC | forced vital capacity |
mMRC | modified Medical Research Council |
PEF | peak expiratory flow |
PFT | pulmonary function test |
SOB | shortness of breath |
UACS | upper airway cough syndrome (eg, postnasal drip) |