Mild to moderate COPD | Severe COPD | |
Frequency of follow-up | At least annual | At least twice per year |
Vaccination | Offer annual influenza vaccination | Offer annual influenza vaccination |
Offer pneumococcal vaccination | Offer pneumococcal vaccination | |
Areas assessed | Smoking status | Smoking status |
Management of symptoms: | Management of symptoms | |
Activity limitation due to breathlessness | Activity limitation due to breathlessness | |
Frequency of exacerbations | Frequency of exacerbations | |
Efficacy of mediations | Presence of cor pulmonale | |
Inhaler technique | Need for treatment escalation | |
Need for specialist referral | Need for long-term oxygen therapy | |
Need for pulmonary rehabilitation | Need for social services support | |
Nutritional input | ||
Need for specialist referral | ||
Need for pulmonary rehabilitation | ||
Measurements to make | FEV1, FVC | FEV1, FVC |
BMI calculation | BMI calculation | |
MRC dyspnoea score | MRC dyspnoea score | |
Oxygen saturation | Oxygen saturation |
FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; BMI, body mass index; MRC, Medical Research Council.