Determining Prognosis In COPD – The BODE Index

The following is BODE Index for COPD Survival Prediction [This is the link to the calculator] (See Resource 1 for Reference) from reference.medscape.com:

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Results:Total Criteria Point Count: 

  [This  the calculator form (nonfunctional on this post) from the above link]

Approximate 4 Year Survival Interpretation

0-2 Points: 80%
3-4 Points: 67%
5-6 Points: 57%
7-10 Points: 18%

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FEV1 % Predicted After Bronchodialator
>= 65% (0 points)
50-64% (1 point)
36-49% (2 points)
<= 35% (3 points)
6 Minute Walk Distance
>= 350 Meters (0 points)
250-349 Meters (1 point)
150-249 Meters (2 points)
<= 149 Meters (3 points)
MMRC Dyspnea Scale (4 is worst)
MMRC 0: Dyspneic on strenuous excercise (0 points)
MMRC 1: Dyspneic on walking a slight hill (0 points)
MMRC 2: Dyspneic on walking level ground; must stop occasionally due to breathlessness (1 point)
MMRC 3: Must stop for breathlessness after walking 100 yards or after a few minutes (2 points)
MMRC 4: Cannot leave house; breathless on dressing/undressing (3 points)
Body Mass Index
> 21 (0 points)
<= 21 (1 point)

Resources:

Celli BR, Cote CG, Marin JM, et. al. The body-mass index, airflow obstruction, dyspnea and exercise capacity index in chronic obstructive pulmonary disease [PubMed Abstract] [Full Text HTML] [Full Text PDF]. N Engl J Med. 2004 Mar 4;350(10):1005-12.

Mahler DA, Wells CK. Evaluation of clinical methods for rating dyspnea [PubMed Abstract]. Chest. 1988 Mar;93(3):580-6.

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