[Also Published in Indian Journal of Chest Diseases and Allied Sciences. 2004,46: 137-153 And Lung India 2004,21:11-26.]
 
Preface
Introduction
Epidemilogy & Risk Factors
Pathogenesis & Pathophysiology
How to diagnose COPD?
Investigations
Treatment of patient with stable COPD
Management of acute exacerbations
Progression and Prognosis
COPD Algorithm
References
Tables
List of participants
Consultants & Reviewers
Rapporteurs
 
 
 
Table 3. Staging of COPD based on symptoms, signs, 6 minute walk test and                peak expiratory flow rate.

   Symptoms(Cough & sputum)  Signs  6 minute walk test  PEF (optional)
 At risk  No dyspnoea, hypersecretion +      
 Mild  Dyspnoea on unaccustomed  activity or climbing two flight of  stairs  Mild hyperinflation  >200 m  50-70%
 Moderate  Dyspnoea on accustomed  activity  Moderate hyperinflation  100-200 m  30-50%
 Severe  Dyspnoea at rest  Near absence of breath sounds,  respiratory failure, polycythemia,  CCF  < 100 m  < 30%

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Copyright © 2003 Prof. S.K.Jindal, Head, Department of Pulmonary Medicine, PGIMER, Chandigarh. All rights reserved.