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- W2553950212 abstract "Introduction: GOLD 2014 recommendations categorise COPD patients in four groups, which differ significantly in clinical characteristics and outcomes.Aim: This follow-up study attempted to determine the distribution and stability of GOLD 2014 revision groups in three consecutive years 2012, 2013 and 2014.Methods: A total of 262 (210 male and 52 female, mean age 66±9 ) COPD outpatients were recruited. Patients underwent spirometry, filled in questionnaires for assessment of self-reported exacerbations in the past 12 months and dyspnoea severity using mMRC. During the period all COPD related hospitalisations and ambulatory visits were tracked down.Results: There was no statistically significant difference between the distribution of patients using the GOLD spirometric classification or exacerbation history at baseline. On the basis of mMRC and the number of exacerbations in the previous year, patients were classified as follows: A 69 (26%), B 73 (28%), C 36 (14%) and D 84 (32%). In GOLD A most of the patients remained A throughout the follow-up period (2013 - 57%; 2014 - 44%), but on the third year 38% were assigned to group B (p<0,01). GOLD B patients migrated to group D (47% and 40%) (p<0,05). Patients GOLD D remained mostly in D (60% and 53%) and 39% were moved to B (p<0,01). There was no statistical significance in the distribution of GOLD C during the period.Conclusion: During the 3-year followup GOLD A and GOLD D groups were relatively stable. Groups B and C were unstable over time. In our study we have found that hospitalisations is the main reason for migrating patients from one GOLD group to another." @default.
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- W2553950212 date "2015-09-01" @default.
- W2553950212 modified "2023-09-27" @default.
- W2553950212 title "Three year follow-up of distribution and stability of patients with COPD according GOLD 2014" @default.
- W2553950212 doi "https://doi.org/10.1183/13993003.congress-2015.pa4579" @default.
- W2553950212 hasPublicationYear "2015" @default.
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