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[Post-hospital mortality in patients re-admitted due to COPD. Utility of BODE index]

M Sanjaume1, P Almagro, M Rodríguez-Carballeira

  • 1Servicio de Medicina Interna, Hospital Mutua de Terrassa, Terrassa, Barcelona, España. mariasanjaume@hotmail.com

Revista Clinica Espanola
|September 25, 2009
PubMed

Insights

The BODE index accurately predicts mortality in hospitalized patients with Chronic Obstructive Pulmonary Disease (COPD) exacerbations. This tool is reliable for assessing survival risk in COPD patients requiring multiple hospital admissions.

Area of Science:

  • Pulmonary Medicine
  • Critical Care Medicine

Context:

  • The BODE index is established for predicting mortality in ambulatory Chronic Obstructive Pulmonary Disease (COPD) patients.
  • Its predictive value in hospitalized COPD patients with acute exacerbations remains largely uncharacterized.

Purpose:

  • To prospectively evaluate the utility of the BODE index in predicting mortality among hospitalized patients experiencing acute exacerbations of COPD.

Summary:

  • This study assessed 66 patients hospitalized for COPD exacerbations. The BODE index, calculated at discharge, was evaluated alongside other clinical factors.
  • Higher mortality was associated with older age, comorbidities, and worse BODE index scores. Hypercapnia and the BODE index emerged as independent predictors of mortality in multivariate analysis.

Impact:

  • The BODE index, when measured at hospital discharge, serves as an accurate and dependable prognostic tool for mortality in COPD patients with recurrent acute exacerbations.
  • Findings support the use of the BODE index for risk stratification and management decisions in this vulnerable patient population.
Abstract

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