Key care elements for group A, B, C and D patients
| Group A | Group B | Group C | Group D | |||
|---|---|---|---|---|---|---|
| Key care elements | At risk | Low risk, less symptoms | Low risk, more symptoms | High risk, less symptoms | High risk, more symptoms | In exacerbation |
| 1. Smoking prevention | ✓ | |||||
| 2. Smoking cessation | ✓ | ✓ | ✓ | ✓ | ✓ | |
| 3. Differential diagnosis | ✓ | |||||
| 4. Spirometric diagnosis | ✓ | 18–24 monthly or when clinician suspects patient grouping has changed | ||||
| 5. Patient education | ✓ | ✓ | ✓ | ✓ | ||
| 6. Drug optimisation | ✓ | ✓ | ✓ | ✓ | ✓ | |
| 7. Influenza vaccination (yearly) | Only for elderly (≥65 years old) and those who have concomitant | ✓ | ✓ | ✓ | ||
| 8. BMI assessment (yearly) | ✓ | ✓ | ✓ | ✓ | ||
| 9. CAT | 6–12 monthly | 6–12 monthly | 6–12 monthly | 3–4 monthly | ||
| 10. Acute ventilation (Invasive/Non-invasive) | ✓ | |||||
| 11. Supported restructured hospital/emergency department discharge | ✓ | |||||
| 12. Home oxygen | ✓ | ✓ | ||||
| 13. Advance care planning | ✓ | ✓ | ||||
BMI, body mass index; CAT, COPD assessment Tool; COPD, chronic obstructive pulmonary disease.