DECAF Score for the Prognosis of Acute Exacerbations of COPD

DECAF score provides accurate prognosis for patients with acute exacerbation of COPD

Clinical Question:
Does the DECAF score accurately predict mortality in hospitalized patients with an acute exacerbation of chronic obstructive pulmonary disease?

Bottom Line:
The cleverly named Dyspnea, Eosinopenia, Consolidation, Acidemia, and atrial Fibrillation (DECAF) score (gotta love a good acronym!) accurately identifies patients
with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) as being at low, moderate, or high risk of mortality. The DECAF score can serve as a check on a physician’s judgment about a patient and can help identify which patients may be safe for discharge and which patients may require closer monitoring or intensive care. (LOE = 1b)

Echevarria C, Steer J, Heslop-Marshall K, et al. Validation of the DECAF score to predict hospital mortality in acute exacerbations of COPD. Thorax 2016;71:133-140.


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