BODE index

The BODE index , also BODE score, short for " b ody-mass index, airflow o bstruction, d yspnea and e xercise capacity index in chronic obstructive pulmonary disease" , is a multidimensional 10-point scale in which higher Result associated with a higher risk of death in the context of chronic obstructive pulmonary disease . The index was first published by the Celli working group in 2004. Four easily determinable parameters are included in the determination:

• the body mass index (BMI), calculated from body height and weight,
• the one-second capacity (FEV1), a value of the lung function test , to determine the narrowing of the airways (airflow obstruction, extent of the obstruction),
• determining the perceived shortness of breath (dyspnoea, shortness of breath) based on the modified Medical Research Council dyspnea scale ( MMRC scale )
• the 6-minute walk test as a measure of physical resilience (exercise capacity).

The background to the selection of these four parameters is that the one-second capacity shows an easily measurable impairment of lung function, the subjectively perceived shortness of breath reflects the experience of the patient himself and the other two parameters show the effects of the systemic disease COPD on the whole organism (weight change, performance). With the combination of these four different aspects, an attempt is made to satisfy a holistic view of the clinical picture.

Determination of the BODE index: 0 (FEV1> 64), 1 (FEV1 50-64), 2 (FEV1 36-49) or 3 (FEV1> 34) points on the BODE scale are assigned for the parameter FEV1 -Minute walking test 0 (> 350 m), 1 (250–349 m), 2 (150–249 m) or 3 (<150 m) and for dyspnea (according to the Medical Research Council Score ) 0 (MRC 0– 1), 1 (MRC 2), 2 (MRC 3) or 3 (MRC 4) and for the body mass index 0 (BMI> 21 kg / m²) or 2 (BMI <22 kg / m²).

A further development of the index was made in 2009 by Puhan et al. released.

literature

• Marianne Abele-Horn: Antimicrobial Therapy. Decision support for the treatment and prophylaxis of infectious diseases. With the collaboration of Werner Heinz, Hartwig Klinker, Johann Schurz and August Stich, 2nd, revised and expanded edition. Peter Wiehl, Marburg 2009, ISBN 978-3-927219-14-4 , p. 78.

Remarks

1. ↑ Mahler, DA, Wells, CK: Evaluation of clinical methods for rating dyspnea ; Chest. 1988 Mar; 93 (3): 580-6. PMID 3342669
2. ^ Celli RC et al .: The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease ; N Engl J Med 2004; 350: 1005-1012; PMID 14999112
3. ↑ MRC levels: 0 = no breathlessness, 1 = breathlessness with heavy exertion, 2 = breathlessness with light exertion, 3 = shortness of breath after walking 100 m, 4 = shortness of breath that does not allow leaving the house.
4. ↑ Marianne Abele-Horn (2009), p. 78.
5. ↑ Puhan, MA et al. Expansion of the prognostic assessment of patients with chronic obstructive pulmonary disease: the updated BODE index and the ADO index ; Lancet. 2009 Aug 29; 374 (9691): 704-11 .; PMID 19716962

Web links

• Online calculator Bode index of the German Respiratory League

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !