==== GOLD Grades ==== === Spirometric Assessment === ^ Grade ^ FEV1 Percent Predicted ^ Severity ^ |1| ≥80%|Mild| |2|50% − 79%|Moderate| |3|30% − 49%|Severe| |4|<30%|Very Severe| === Exacerbation Assessment === * ≥1 Hospitalization? * YES: Group E * NO: Next bullet point * ≥2 Outpatient Prednisone courses? * YES: Group E * NO: Assess HRQoL symptoms * mMRC ≥ 2 OR CAT ≥ 10 * YES: Group B * NO: Group A