A study of modified decaf score in predicting hospital mortality in patients of acute exacerbations of chronic obstructive pulmonary disease at pbm hospital, bikaner

Author: 
Hitesh Kumar Bansal., Manak Gujrani and Gunjan Soni

Background- Hospitalisation due to acute exacerbations of COPD (AECOPD) is common, and subsequent mortality high. The modified DECAF score was derived for accurate prediction of mortality and risk stratification to inform patient care.
Methods- Hospital based descriptive type of observational study was conducted between July 2016 and June 2017. After applying inclusion and exclusion criterias, study population for Acute exacerbation of COPD was selected. Admission clinical data, including modified DECAF indices, and mortality were recorded.
Results- There were 74 cases who presented with dyspnea (eMRCD 0–4) with score 0, 25 cases presented with dyspnea (eMRCD 5a) with score 1 and 13 cases presented with dyspnea (eMRCD 5b) with score 2. In our study there was a statistically significant association (p=0.0001) between the Modified DECAF score and In Hospital mortality of Acute Exacerbation of COPD.
Conclusion-We concluded that the Modified DECAF score is a powerful score to predict in hospital mortality from AECOPD.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.10103.1697
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