BAP-65_score v.1
BAP-65 Score assessment for Acute Exacerbation of COPD.
To calculate the BAP-65 score and predicts mortality in acute COPD exacerbation.
Use in patients >40 years of age presenting to the emergency department with acute COPD exacerbation. Formula Addition of the selected points, then class assigned by age: Variables 0 points 1 point BUN ≥25 mg/dL (8.9 mmol/L) No Yes Altered mental status* No Yes Pulse ≥109 beats/min No Yes *Initial GCS<14, or disorientation, stupor, or coma as determined by the physician. Class BAP Score Age I 0 <65 yrs II 0 >=65 yrs III 1 Any age IV 2 Any age V 3 Any age BAP-65 Class In-hospital mortality Need for mechanical ventilation within 48 hours Recommendation I 0.3% 0.3% Routine management of COPD exacerbation II 1.0% 0.2% III 2.2% 1.2% Consider early non-invasive ventilation and/or ICU care IV 6.4% 5.5% V 14.1% 12.4%
Do not use in patients ≤40 years old, as asthma is a confounder in this population.
Tabak YP, Sun X, Johannes RS, Gupta V, Shorr AF. Mortality and Need for Mechanical Ventilation in Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Development and Validation of a Simple Risk Score. Arch Intern Med [Internet]. 2009 Sep 28;169(17):1595–602.
openEHR-EHR-OBSERVATION.bap_65, openEHR-EHR-EVALUATION.bap_65_score_assessment
