BODE Index for COPD
Predicts mortality in COPD using BMI, obstruction, dyspnea and exercise capacity.
When to use
Adults with stable COPD to stratify mortality risk and guide follow-up.
Pearls and pitfalls
- The index adds BMI, FEV1, mMRC dyspnea and six minute walk distance.
- BMI of 21 or less scores 1 point; FEV1 below 36% scores 3 points.
- BODE predicts mortality better than FEV1 alone in COPD cohorts.
- Recent exacerbations and comorbidities also influence prognosis and are not in the score.
Fill in the fields to see the result.
Formula
Add BMI (0 or 1), FEV1 (0 to 3), mMRC dyspnea (0 to 3) and six minute walk distance (0 to 3).
Evidence
Multidimensional index derived and validated in patients with COPD, with better mortality prediction than FEV1.
References
- Celli BR, Cote CG, Marin JM, et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004;350(10):1005-1012. doi:10.1056/NEJMoa021322
Frequently asked questions
What is BODE Index for COPD?
Predicts mortality in COPD using BMI, obstruction, dyspnea and exercise capacity. Adults with stable COPD to stratify mortality risk and guide follow-up.
How is the result calculated?
Add BMI (0 or 1), FEV1 (0 to 3), mMRC dyspnea (0 to 3) and six minute walk distance (0 to 3).
How should the result be interpreted?
Multidimensional index derived and validated in patients with COPD, with better mortality prediction than FEV1.
What are the sources?
Celli BR, Cote CG, Marin JM, et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004;350(10):1005-1012.