Table 1

Classification of severity of airflow obstruction

Postbronchodilator FEV1/FVCFEV1% predictedNICE 2004ATS/ERS 2004GOLD 2008NICE 2010
Severity of airflow obstruction
PostbronchodilatorPostbronchodilatorPostbronchodilator
<0.7≥80MildStage 1: MildStage 1: Mild*
<0.750–79MildModerateStage 2: ModerateStage 2: Moderate
<0.730–49ModerateSevereStage 3: SevereStage 3: Severe
<0.7<30SevereVery severeStage 4: Very severeStage 4: Very severe
  • * Symptoms should be present to diagnose chronic obstructive pulmonary disease in people with mild airflow obstruction.

  • Or FEV1 <50% with respiratory failure.

  • ATS, American Thoracic Society; ERS, European Respiratory Society; FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; GOLD, Global Initiative for Chronic Obstructive Lung Disease; NICE, National Institute for Health and Clinical Excellence.