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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    BODE Index for COPD Survival

    Predicts survival in COPD patients.

    INSTRUCTIONS

    Do not use in patients during acute exacerbations of COPD. Do not use to guide therapy. See When to Use for full exclusion criteria.

    When to Use
    Pearls/Pitfalls
    Why Use
    • Patients with COPD, defined as >20 pack-year smoking history and FEV1/FVC ratio <0.7, measured 20 mins after albuterol given. Do not use if any of the following:

      • Asthma diagnosis.
      • Inability to perform bronchodilator test or 6 Minute Walk Test.
      • MI within four months.
      • Unstable angina.
      • CHF (NYHA class III or IV).
      • Likely to die within 3 years from a cause other than COPD.
    • Should not be used during acute exacerbations. The DECAF Score can be used to predict mortality in acute exacerbations of COPD.
    • The BODE Index is a unique scoring system that uses variables from different domains to predict all-cause mortality and mortality from respiratory causes (respiratory failure, pneumonia or pulmonary embolism) in patients with COPD.
    • Intended for use in patients with stable COPD who are already on appropriate treatment (not acute exacerbations of COPD).
    • Requires FEV1, 6 Minute Walk Test, and mMRC Dyspnea Scale.
    • Not intended to guide or influence treatment. 
    • Better than FEV1 to predict risk of death, hospitalizations and exacerbations of COPD.
    • Widely applicable, requires no special equipment, and is simple to calculate.
    • Better than FEV1 alone at predicting mortality from any cause or respiratory cause.
    • By using the mMRC Dyspnea Scale, it takes into consideration patient’s perception of symptoms.
    • Looks at systemic manifestations of COPD by incorporating BMI and the 6 Minute Walk Test.
    • May be a better predictor of hospitalizations for COPD compared to FEV1 (Ong 2005).
    • May also be a better predictor of COPD exacerbations compared to FEV1 alone (Marin 2009).
    ≥65%
    0
    50-64%
    +1
    36-49%
    +2
    ≤35%
    +3
    ≥350 m (383 yds)
    0
    250-349 m (273-382 yds)
    +1
    150-249 m (164-272 yds)
    +2
    ≤149 m (163 yds)
    +3
    Dyspnea only with strenuous exercise
    0
    Dyspnea when hurrying or walking up a slight hill
    0
    Walks slower than people of same age because of dyspnea or stops for breath when walking at own pace
    +1
    Stops for breath after walking 100 yards (91 m) or after a few minutes
    +2
    Too dyspneic to leave house or breathless when dressing
    +3
    >21
    0
    ≤21
    +1

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Bartolome R. Celli

    About the Creator

    Bartolome R. Celli, MD, is a professor of medicine at Brigham and Women's Hospital, associated with Harvard Medical School. He specializes in pulmonary and critical care medicine. Dr. Celli’s main research interest is scoring systems in management of COPD.

    To view Dr. Bartolome R. Celli's publications, visit PubMed

    Content Contributors
    About the Creator
    Dr. Bartolome R. Celli
    Content Contributors