Table 1—

Characteristics that should trigger a discussion on preferences about end-of-life care

FEV1 <30% predicted
Oxygen dependence
One or more hospital admissions in the previous year for an acute exacerbation of COPD
Left heart failure or other comorbidities
Weight loss or cachexia
Decreased functional status
Increasing dependence on others
Age >70 yrs
  • FEV1: forced expiratory volume in one second; COPD: chronic obstructive pulmonary disease.