ToolsCalculators
DECAF score for acute exacerbation of COPD
In-hospital mortality risk in acute COPD exacerbation.
DECAF score for acute exacerbation of COPD
Dyspnoea (extended MRC dyspnoea scale)
Eosinopenia (eosinophils <0.05 x10^9/L)
Consolidation on chest X-ray
Acidaemia (pH <7.30)
Atrial fibrillation (on ECG or history)
Result0 points
In-hospital mortality risk is low (about 1-4 %). Scores 3-6 identify patients who may need escalation or early palliative discussion.
- Risk group
- Low (0-1)
When to use
- Risk-stratifying patients hospitalised with an acute exacerbation of COPD.
Formula
Points: Dyspnoea eMRCD 5a (1) or 5b (2); Eosinopenia <0.05 x10^9/L (1); Consolidation (1); Acidaemia pH <7.30 (1); atrial Fibrillation (1). Range 0-6.