Pulmonology Book

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BODE Index

Aka: BODE Index
  1. Indications
    1. COPD Prognosis
  2. Scoring: Add each of 4 criteria scores for total from 0-10 points
    1. FEV1
      1. Points 0: FEV1 >64%
      2. Points 1: FEV1 50-64%
      3. Points 2: FEV1 36-49%
      4. Points 3: FEV1 <36%
    2. Six-Minute Walk Test
      1. Points 0: Walks >349 meters
      2. Points 1: Walks 250-349 meters
      3. Points 2: Walks 150-249 meters
      4. Points 3: Walks <150 meters
    3. MRC Dyspnea Index
      1. Points 0: Dyspnea Index 0-1
      2. Points 1: Dyspnea Index 2
      3. Points 2: Dyspnea Index 3
      4. Points 3: Dyspnea Index 4-5
    4. Body Mass Index (BMI)
      1. Points 0: BMI >21
      2. Points 1: BMI 21 or less
  3. Interpretation
    1. Higher BODE scores correlate with an increasing risk of death
    2. Four year survival
      1. Score 0-2: 80% four year survival
      2. Score 3-4: 67% four year survival
      3. Score 5-6: 57% four year survival
      4. Score 7-10: 18% four year survival
  4. References
    1. Celli (2004) N Engl J Med 350(10): 1005-1012 [PubMed]

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