The BODE index, for Body-mass index, airflow Obstruction, Dyspnea, and Exercise, is a multidimensional scoring system and capacity index used to test patients who have been diagnosed with chronic obstructive pulmonary disease (COPD) and to predict long-term outcomes for them. The index uses the four factors to predict risk of death from the disease.
The BODE index will result in a score of zero to ten dependent upon FEV1 or "forced expiratory volume in one second" (the greatest volume of air that can be breathed out in the first second of a breath), body-mass index, the distance walked in six minutes, and the modified MRC dyspnea scale. Significant weight loss is a bad sign. Results of spirometry are also good predictors of the future progress of the disease, but they are not as good as the test results of the BODE index.
References
- Cislo, Geoffrey S.; Fer, Thomas M. De; Henderson, Katherine E. (2008-09-01). General Internal Medicine Consult (2 ed.). Lippincott Williams & Wilkins. p. 96. ISBN 978-0-7817-9155-7.
- Casanova, C.; Celli, B. R.; Barria, P. (2010-12-30). "The 6-min walk distance in healthy subjects: reference standards from seven countries". European Respiratory Journal. 37 (1): 150–156. doi:10.1183/09031936.00194909. ISSN 0903-1936. PMID 20525717.
- ^ Reilly, John J.; Silverman, Edwin K.; Shapiro, Steven D. (2011). "Chronic Obstructive Pulmonary Disease". In Longo, Dan; Fauci, Anthony; Kasper, Dennis; Hauser, Stephen; Jameson, J.; Loscalzo, Joseph (eds.). Harrison's Principles of Internal Medicine (18th ed.). McGraw Hill. pp. 2151–9. ISBN 978-0-07-174889-6.
- National Institute for Health and Clinical Excellence. Clinical guideline 101: Chronic Obstructive Pulmonary Disease. London, June 2010.
Further reading
- Celli, Bartolome R.; Cote, Claudia G.; Marin, Jose M.; Casanova, Ciro; Montes de Oca, Maria; Mendez, Reina A.; Pinto Plata, Victor; Cabral, Howard J. (2004). "The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease". N Engl J Med. 350 (10): 1005–12. doi:10.1056/NEJMoa021322. PMID 14999112.
- Mahler, D.A.; Criner, G.J. (2007). "Assessment tools for chronic obstructive pulmonary disease: do newer metrics allow for disease modification?". Proc Am Thorac Soc. 4 (7): 507–511. doi:10.1513/pats.200701-013FM. PMID 17878462.
- Li, Chin-Ling; Lin, Mei-Hsin; Chen, Pei-Shiuan (February 2020). "Using the BODE Index and Comorbidities to Predict Health Utilization Resources in Chronic Obstructive Pulmonary Disease". International Journal of Chronic Obstructive Pulmonary Disease. 15: 389–395. doi:10.2147/copd.s234363. ISSN 1178-2005. PMC 7036670. PMID 32110007.
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