Comparisson BAP 65 Score and DECAF Score as Outcome Predictor of COPD Exacerbation at Emergency Room in Dr. Moewardi Hospital

· COPD, Critical Care

Winny Frida, Dewi Nurul Makabhah, Jatu Aphridasari, Farih Raharjo, Suradi
Departemen Pulmonologi dan Kedokteran Respirasi Fakultas Kedokteran Universitas Sebelas Maret, RSUD Dr. Moewardi, Surakarta

Background: Prevalence of COPD is increasing, due to better diagnostic tools and because diagnostic capabilities. Some of the tools to asses the degree of severity in AE-COPD are BAP 65 score and DECAF score. Both have been clinically tested with promising result.This study aimsto compare BAP 65 scoring system and DECAF scoring system to predict prognosis and outcome of AE-COPD in the ER.
Methods: This is a cohort retrospective study of which 36 subjects were enrolled. BAP 65 and DECAF scoring systems were evaluated in the ER. The primary outcomes are mortality, length of study and number of days the subject become stable. This study was held in January 2014 until December 2015 in emergency room Dr. Moewardi hospital Surakarta.
Results: DECAF score was significally corelated with mortality (p=0.008, and r= 0.399)and length of stay (p=0.035 aand r=0.305) but not with the length of the day to stable (p=0.096). there were no significant corelation between BAP 65 score with length of stay (p=0.449) and length of the day of stable (p=0.286).
Conclusion: DECAF scoring system is better than BAP 65 in predicting length of stay and mortality COPD exacerbation. (J Respir Indo. 2017; 37: 102-8)
Keywords: BAP 65, DECAF, AE-COPD, mortality, emergency room

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