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68; p0.0001) among the 78 patients. The slow 4mGS group had a higher frequency of death during the observation period (p=0.0095) and a greater requirement for long-term oxygen therapy (p=0.0063). The 4mGS correlated with inspiratory capacity (IC) and IC/total lung capacity ratios, which are respiratory failure indicators. The 4mGS is a simple and easy method of assessing the physical condition as well as estimating the prognosis of patients with COPD, and may serve as a useful marker in home medical treatment or clinical settings. Th