GOLD Spirometric Grade (COPD)

GOLD spirometric grade of COPD airflow obstruction from post-bronchodilator FEV1 % predicted and the FEV1/FVC ratio.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

FEV1
45 % predicted
FEV1/FVC ratio (0-1) — leave blank to compute from volumes
0.6

Result: Obstruction present (FEV1/FVC 0.6 < 0.70); GOLD 3 - severe (FEV1 30-49% predicted) at FEV1 45% predicted.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Obstruction
Post-bronchodilator FEV1/FVC < 0.70 defines obstruction; at or above 0.70 no GOLD spirometric grade is assigned.
Grade (FEV1 %predicted)
GOLD 1 >= 80%; 2 50-79%; 3 30-49%; 4 < 30%, assigned only when obstruction is present.
Caveat
The spirometric grade is severity only; the GOLD ABE group that drives pharmacotherapy also weighs symptoms and exacerbations.

What you enter

  • FEV1
  • FEV1/FVC ratio (0-1) — leave blank to compute from volumes
  • FEV1 (optional, to compute the ratio)
  • FVC (optional, to compute the ratio)
How this is calculated

Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management, and Prevention of COPD: 2024 Report. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.