Table 6, Summary of follow-up of people with COPD in primary care - Chronic obstructive pulmonary disease in over 16s: diagnosis and management

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	Mild/moderate/severe (stages 1 to 3)	Very severe (stage 4)
Frequency	At least annual	At least twice per year
Clinical assessment	Smoking status and motivation to quit Adequacy of symptom control: - breathlessness - exercise tolerance - estimated exacerbation frequency Need for pulmonary rehabilitation Presence of complications Effects of each drug treatment Inhaler technique Need for referral to specialist and therapy services	Smoking status and motivation to quit Adequacy of symptom control: - breathlessness - exercise tolerance - estimated exacerbation frequency Presence of cor pulmonale Need for long-term oxygen therapy Person with COPD’s nutritional state Presence of depression Effects of each drug treatment Inhaler technique Need for social services and occupational therapy input Need for referral to specialist and therapy services Need for pulmonary rehabilitation
Measurements to make	FEV1 and FVC calculate BMI MRC dyspnoea score	FEV1 and FVC calculate BMI MRC dyspnoea score SaO₂

Chronic obstructive pulmonary disease in over 16s: diagnosis and management.

NICE Guideline, No. 115.

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