ACT & MMRC
ACT & MMRC
Asthma Control Test TM
Perhimpunan Dokter Paru Indonesia(The Indonesia Society of
Respirology)Diagnosis dan Penatalaksanaan Asma dari PDPI
danImplementasi GINA di Indonesia
3Contoh Nilai ACT113229
Perhimpunan Dokter Paru Indonesia(The Indonesia Society of
Respirology)Diagnosis dan Penatalaksanaan Asma dari PDPI
danImplementasi GINA di Indonesia
4Assessment of COPDAssess symptoms
Use the COPD Assessment Test(CAT) or mMRC Breathlessness scale
COPD Assessment Test (CAT): An 8-item measure of health status
impairment in COPD (http://catestonline.org).
Breathlessness Measurement using the Modified British Medical
Research Council (mMRC) Questionnaire: relates well to other
measures of health status and predicts future mortality risk.5
Modified MRC (mMRC)Questionnaire6CAT
COPD Assessment Test (CAT): An 8-item measure of health status
impairment in COPD (http://catestonline.org).7Assessment of
COPDAssess degree of airflow limitation using spirometry
Use spirometry for grading severity according to spirometry,
using four grades split at 80%, 50% and 30% of predicted value In
patients with FEV1/FVC < 0.70:GOLD 1: Mild FEV1 > 80%
predicted GOLD 2: Moderate 50% < FEV1 < 80% predictedGOLD 3:
Severe 30% < FEV1 < 50% predictedGOLD 4: Very Severe FEV1
< 30% predicted*Based on Post-Bronchodilator FEV18Risk (GOLD
Classification of Airflow Limitation)Risk (Exacerbation
history)> 2 1 0(C)(D) (A)(B)mMRC 0-1CAT < 10 4321 mMRC >
2CAT > 10 Symptoms(mMRC or CAT score))Combined Assessment of
COPD9PLEASE TICK IN THE BOX THAT APPLIES TO YOU(ONE BOX ONLY)mMRC
Grade 0. I only get breathless with strenuous exercise.
mMRC Grade 1. I get short of breath when hurrying on the level
or walking up a slight hill.
mMRC Grade 2. I walk slower than people of the same age on
thelevel because of breathlessness, or I have to stop for breath
when walking on my own pace on the level.
mMRC Grade 3. I stop for breath after walking about 100 meters
orafter a few minutes on the level.
mMRC Grade 4. I am too breathless to leave the house or I
ambreathless when dressing or undressing.
