P252 Gold Category And Optimal Management : A Canadian Perspective

Hypothesis Current Canadian guidelines and GOLD strategy for COPD management provide a treatment algorithm based on current symptoms and exacerbation history. We wished to assess COPD patient current objective, subjective symptoms, quality of life and exacerbation history of a random sample in primary care and office based chest medicine clinics. A convenience sample of 500 was selected. Results We report the characteristics of the first 250 COPD patients from our ongoing 500 patient survey. Basic demographics 55% Male, 45% Female. Mean age patients 68 ± 12 yrs, all patients were previous smokers with 56 ± 10 pkt/yrs smoking history. 34% remain current smokers. Mean FEV1 48% ± 10%, Mean FEV1/FVC ratio 49% ± 10. Median mMRC dyspnea score 2. Mean CAT score 18 ± 10 (Range 0–38). GOLD Stage Classification 13% GOLD Stage A, 67% GOLD Stage B, 1% GOLD Stage C and 19% GOLD Stage D.