Current Care Guideline «Keuhkoahtaumatauti»1 and Summary «Chronic obstructive pulmonary disease (COPD)»2 in Finnish
COPD diagnosis is based on exposure to hazards, symptoms and spirometry, where the ratio of the forced expiratory volume in 1 second and forced vital capacity (FEV1/FVC) is < 0.7 after bronchodilation. The clinical severity of COPD is assessed by means of FEV1 -based Z-values, symptoms and exacerbations. Symptoms can be assessed by respiratory questionnaires. Smoking cessation and physical activity are important treatment options. Pharmacological treatment is determined by symptoms, risk of exacerbations and co-occurrence of asthma features (ACO). Non-invasive ventilation (NIV) is recommended in the treatment of severe hypercapnic exacerbations. Palliative treatment of end stage COPD is included in the guidelines.
Terttu Harju (Chair)
Hannu Kankaanranta
Milla Katajisto
Maritta Kilpeläinen
Lauri Lehtimäki
Juho Lehto
Witold Mazur
Tuula Meinander