• Users Online: 210
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2020  |  Volume : 10  |  Issue : 3  |  Page : 171-175

A study of modified DECAF score in predicting hospital outcomes in patients of acute exacerbation of chronic obstructive pulmonary disease at SMS Medical College, Jaipur

Department of Respiratory Medicine, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Suresh Koolwal
Department of Respiratory Medicine, SMS Medical College, Jaipur, Rajasthan
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/AIHB.AIHB_35_20

Rights and Permissions

Background: The value of Modified DECAF Score as a clinical prediction tool that can accurately risk stratify all patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD) is needed to be assessed. Aim: The aim of this study is to evaluate the prognostic effect of the Modified DECAF score in predicting outcomes in AECOPD. Materials and Methods: A hospital-based descriptive type of observational study done on 160 patients admitted with AECOPD at the Institute of Respiratory Diseases, SMS Medical College, Jaipur. Modified DECAF score was calculated for each patient, and the individual parameters used in calculating the score were recorded. Modified DECAF score has five variables (baseline dyspnoea extended Medical Research Council Dyspnea Grade 5a or 5b, Eosinopenia (<50 cells/mm3), Consolidation, Acidemia (pH < 7.30), frequency of hospitalisations in last 1 year (2 or more), a maximum score of 6.Results: Patients could be stratified according to mortality rates observed with Modified DECAF scores into low risk (scores 0–2), intermediate risk (score 3) and high risk (scores 4–6) groups. Mortality was close to 70% in the high-risk group; it was about 7% in the intermediate risk group, whereas no deaths were recorded in the low-risk group. Conclusion: We concluded that the Modified DECAF score is sensitive and specific in predicting in-hospital mortality in AECOPD patients. Further research is required to quantify its impact on clinical practice, for example, in the identification of patients for palliative care or early supported discharge services or for escalation of therapy.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded70    
    Comments [Add]    

Recommend this journal