Pulmonology Book

http://www.fpnotebook.com/

COPD Exacerbation Decision Tool

Aka: COPD Exacerbation Decision Tool, BAP-65
  1. Indications
    1. COPD Exacerbation
      1. Estimate mortality risk and Mechanical Ventilation risk
  2. Criteria (one point for each positive criteria)
    1. Blood Urea Nitrogen (BUN) >25
    2. Altered Mental Status
    3. Pulse > 109 beats/min
    4. Age > 65 years
  3. Interpretation
    1. Score 0: Class 1 (Mortality 0.5%)
    2. Score 1: Class 2 (Mortality 1.4%)
    3. Score 2: Class 3 (Mortality 3.7%)
    4. Score 3: Class 4 (Mortality 12.7%)
    5. Score 4: Class 5 (Mortality 26.2%)
  4. References
    1. Shorr (2011) Chest 140(5):1177-83 [PubMed]

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