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Correspondence
GOLD COPD classification and prognostic pessimism regarding ICU admission
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  1. Andrea Collins1,
  2. Andrew Walden2,
  3. Robert Parker3
  1. 1Aintree University Hospitals NHS Foundation Trust, Department of Respiratory Medicine, Liverpool, UK
  2. 2Royal Berkshire NHS Foundation Trust, Department of Acute and Intensive Care Medicine, Reading, UK
  3. 3Aintree University Hospitals NHS Foundation Trust, Department of Respiratory and Intensive Care Medicine, Liverpool, UK
  1. Correspondence to Robert Parker, Aintree University Hospitals NHS Foundation Trust, Department of Respiratory and Intensive Care Medicine, Liverpool, UK; robert.parker{at}aintree.nhs.uk

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Incorporation of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classification of severity of expiratory airflow limitation in chronic obstructive pulmonary disease (COPD) into the recent National Institute for Health and Clinical Excellence (NICE) guidelines is welcome and sensible.1 Describing a forced expiratory volume in one second (FEV1) of 51% predicted as ‘mild disease’ fails to capture the loss of lung function and irreversible damage done. Recognition and optimal early management of COPD cannot be overemphasised to limit its long-term health …

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