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Table 3 COPD ladder of poor health

From: Creating scenarios of the impact of copd and their relationship to copd assessment test (CAT™) scores

CAT score

Descriptions

40

Cannot move far from bed or chair

Have become frail or an invalid

Cannot do housework

35

Cannot take bath/shower or takes a long time

Breathless walking around the home

Chest trouble has become a nuisance to friends/relatives

30

Everything seems too much of an effort

No good days in the week

Stops patient doing most of what they want to do

25

Feel that not in control of chest problem

Cough/breathing disturbs sleep

Get afraid or panic when cannot get breath

20

Wheeze worse in the morning

Breathless on bending over

Wheezing attacks on most days

15

Cough several days a week

Breathlessness on most days

Housework takes a long time or have to take rests

10

Usually cannot play sports or games

Gets exhausted easily

Walk slower than other people or stop for rests

5

Breathlessness stops patient doing one or two things

Chest condition causes a few problems

Breathless walking up hills

  1. This ladder is a Guttman scale, so at any given level of CAT score, it is probable that the patient will experience most of the less severe descriptions