BODE Index for COPD Survival Prediction

Total Criteria Point Count:

Approximate 4 Year Survival Interpretation

0 to 2 Points:	80%
3 to 4 Points:	67%
5 to 6 Points:	57%
7 to 10 Points:	18%

Notes

BODE stands for Body mass index, airflow Obstruction, Dyspnea and Exercise capacity.
MMRC is the Modified Medical Reasearch Council Scale for dyspnea³.

References

Golish JA. The BODE index predicted death in chronic obstructive pulmonary disease. ACP J Club. 2004 Sep-Oct;141(2):53. PubMed ID: 15341473
Celli BR, Cote CG, Marin JM, et al. The body-mass index, airflow obstruction, dyspnea and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004 Mar 4;350(10):1005-12. PubMed ID: 14999112
Mahler DA, Wells CK. Evaluation of clinical methods for rating dyspnea. Chest. 1988 Mar;93(3):580-6. PubMed ID: 3342669

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FEV1 % Predicted After Bronchodialator
		≥65% (0 points)
		50-64% (1 point)
		36-49% (2 points)
		≤35% (3 points)
6 Minute Walk Distance
		≥350 Meters (0 points)
		250-349 Meters (1 point)
		150-249 Meters (2 points)
		≤149 Meters (3 points)
MMRC Dyspnea Scale (4 is worst)
		MMRC 0: Dyspneic on strenuous excercise (0 points)
		MMRC 1: Dyspneic on walking a slight hill (0 points)
		MMRC 2: Dyspneic on walking level ground; must stop occasionally due to breathlessness (1 point)
		MMRC 3: Must stop for breathlessness after walking 100 yards or after a few minutes (2 points)
		MMRC 4: Cannot leave house; breathless on dressing/undressing (3 points)
Body Mass Index
		>21 (0 points)
		≤21 (1 point)