Figurę 5.1
COLO rccommcndacions on thorapy for paticncs with COPD of varying stages of severity
Stagc (2003 upd.itc) |
0 At risk |
1 Młld |
" Modorate |
III Sovcrc |
IV Vory *©vorc |
Prc-bronchodilator FEV, |
Normal |
>80% |
50 80% |
30 50% |
<30% |
(% prcdicted) |
• Avołdanco of risk factors SMOKING CESSATION
• Influenza vaccination
Shoct-acting bronchodilator if nccdcd
• Add regular treatment with one or morę long-acting bronchodilators. including tiotroplum
• Pulmonary rehabilitation
Add regular treatment with inhalcd corticostcroids if ropeated cxaccrbations
• Long-term oxygen thorapy (LTOT) W respiratory failure
• Consider surgical opt»om
Bascd on GOLD global strategy (2003)
For clinlcal deflnition* of stages. refor to Fłguros 1.3 and 3.15