BODE Index for COPD survival prediction in adults

 

FEV1 % predicted after bronchodialator
		≥65% (0 points)
		50 to 64% (1 point)
		36 to 49% (2 points)
		≤35% (3 points)
6-minute walk distance
		≥350 meters (0 points)
		250 to 349 meters (1 point)
		150 to 249 meters (2 points)
		≤149 meters (3 points)
MMRC dyspnea scale (4 is worst)
		MMRC 0: Dyspneic on strenuous exercise (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 [91 meters] 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)

 
Important: Inputs must be complete to perform calculation.

 

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.^[1] COPD: chronic obstructive pulmonary disease; MMRC: Modified Medical Research Council Scale for dyspnea.^[2]

 

References

1. 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
2. Mahler DA, Wells CK. Evaluation of clinical methods for rating dyspnea. Chest. 1988 Mar;93(3):580-6. PubMed ID: 3342669