Predicting the need for mechanical ventilation in acute exacerbations of chronic obstructive pulmonary disease: Comparing the CURB-65 and BAP-65 scores

Shorr, Andrew F.; Sun, Xiaowu; Johannes, Richard S.; Derby, Karen G.; Tabak, Ying P.

doi:10.1016/j.jcrc.2012.02.015

Cited by 20 publications

(18 citation statements)

References 17 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indeed, variables of interest were collected rather exhaustively; however, this would have been quite different outside of a clinical survey (see below). Most scores developed in patients with AECOPD actually rely on some biological variables [ 4 , 5 ]. Even if these variables are available in most settings, this may increase the delay between arrival in the ED and risk stratification and, therefore, decisions regarding patients’ orientation.…”

Section: Discussionmentioning

confidence: 99%

“…Knowledge of all relevant prognostic factors is of major importance to determine the safest and most cost-effective setting for patient care. Several scores (e.g., the BAP-65 or DECAF scores) have been specifically developed to allow risk prediction in patients hospitalized for acute exacerbations of COPD, and were shown to perform better than scores primarily developed for other respiratory illnesses (i.e., community-acquired pneumonia) such as CURB-65 [ 4 , 5 ]. However, studies in this area are heterogeneous in terms of measured variables.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A clinical in-hospital prognostic score for acute exacerbations of COPD

Roche

Chavaillon²,

Maurer

et al. 2014

Respir Res

View full text Add to dashboard Cite

Background: The use of a severity score to help orientation decisions could improve the efficiency of care for acute exacerbations of COPD (AECOPD). We previously developed a score ('2008 score', based on age, dyspnea grade at steady state and number of clinical signs of severity) predicting in-hospital mortality in patients with AECOPD visiting emergency departments (EDs). External validity of this score remained to be assessed. Objectives: To test the predictive properties of the '2008 score' in a population of patients hospitalized in medical respiratory wards for AECOPD, and determine whether a new score specifically derived from this population would differ from the previous score in terms of components or predictive performance. Methods: Data from a cohort study in 1824 patients hospitalized in a medical ward for an AECOPD were analyzed. Patients were categorized using the 2008 score and its predictive characteristics for in-hospital mortality rates were assessed. A new score was developed using multivariate logistic regression modeling in a randomly selected derivation population sample followed by testing in the remaining population (validation sample). Robustness of results was assessed by case-by-case validation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A clinical in-hospital prognostic score for acute exacerbations of COPD

Roche

Chavaillon²,

Maurer

et al. 2014

Respir Res

View full text Add to dashboard Cite

show abstract

“…[314] In a recent study comparing CURB-65 score with BAP-65 score to evaluate the need for mechanical ventilation, it was concluded that BAP-65 identifies patients with AECOPD at high risk for need of mechanical ventilation more accurately than does CURB-65. [315]…”

Section: Introductionmentioning

confidence: 99%

Guidelines for diagnosis and management of chronic obstructive pulmonary disease: Joint ICS/NCCP (I) recommendations

et al. 2013

View full text Add to dashboard Cite

Chronic obstructive pulmonary disease (COPD) is a major public health problem in India. Although several International guidelines for diagnosis and management of COPD are available, yet there are lot of gaps in recognition and management of COPD in India due to vast differences in availability and affordability of healthcare facilities across the country. The Indian Chest Society (ICS) and the National College of Chest Physicians (NCCP) of India have joined hands to come out with these evidence-based guidelines to help the physicians at all levels of healthcare to diagnose and manage COPD in a scientific manner. Besides the International literature, the Indian studies were specifically analyzed to arrive at simple and practical recommendations. The evidence is presented under these five headings: (a) definitions, epidemiology, and disease burden; (b) disease assessment and diagnosis; (c) pharmacologic management of stable COPD; (d) management of acute exacerbations; and (e) nonpharmacologic and preventive measures. The modified grade system was used for classifying the quality of evidence as 1, 2, 3, or usual practice point (UPP). The strength of recommendation was graded as A or B depending upon the level of evidence.

show abstract

“…The provision of NIV outside ICU is increasing internationally 27 but still uncommon in Australia, 28 although such service could both ameliorate resource constrains in ICU, improve triage decisions and extend the benefit of NIV to more AECOPD patients. [30][31][32] While routinely used systems such as APACHE III and SAPS II may have an overall prognostic efficiency of up to 90%, 32 the APACHE III is known to overestimate the in-hospital mortality for AECOPD in Australian/New Zealand ICU. 29 There are no prognostic systems reported that demonstrate sufficient precision to provide adequate guidance in ICU triage decisions for AECOPD patients.…”

Section: Discussionmentioning

confidence: 99%

“…29 There are no prognostic systems reported that demonstrate sufficient precision to provide adequate guidance in ICU triage decisions for AECOPD patients. [30][31][32] While routinely used systems such as APACHE III and SAPS II may have an overall prognostic efficiency of up to 90%, 32 the APACHE III is known to overestimate the in-hospital mortality for AECOPD in Australian/New Zealand ICU. 33 This was again reflected in this study with an observed in-hospital mortality 4% lower than the predicted.…”

Section: Respectively Decreased Pao 2 and Hco 3 − And Increasedmentioning

confidence: 99%