In this large retrospective analysis of patients with acute COPD exacerbations, the BAP-65 score (elevated BUN, altered mental status, pulse>109, age>65) predicted mortality, need for mechanical ventilation, and resource utilization. Mortality for a score of zero was <1% versus >25% in those with all 4 criteria. Similarly, mechanical ventilation ranged from 2% to 55% for the lowest and highest scores, respectively. LOS and costs also increased with increasing scores. The BAP-65 score is easy to use, and can be used to help risk stratify patients with acute exacerbations of COPD (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.