The DECAF score: Predicting hospital mortality in exacerbations of COPD
Despite exacerbations of chronic obstructive pulmonary disease (COPD) being both common and often fatal, accurate prognostication of patients hospitalised with an exacerbation is difficult. For exacerbations complicated by pneumonia, the CURB-65 prognostic tool is frequently used but its use in this population is suboptimal.

The DECAF Score is a simple yet effective predictor of mortality in patients hospitalised with an exacerbation of COPD and has the potential to help clinicians more accurately predict prognosis, and triage place and level of care to improve outcome in this common condition.
Research authors: John Steer, John Gibson, Stephen C. Bourke
Version: 1.6
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  • Pulmonology
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Risk of in-hospital mortality is: %

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This simple clinical prediction tool, incorporating indices routinely available at the time of hospital admission, can accurately stratify patients hospitalised with AECOPD into clinically relevant risk categories and could therefore assist clinicians managing this frequently fatal condition.

The predicted mortality risk is based on the risks reported on external validation by Echevarria et al: Validation of the DECAF score to predict hospital mortality in acute exacerbations of COPD

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