The Decaf (Dyspnea,Eosinopenia,Consolidation, Acidemia,Atrial Fibrillation) Score In Prediction Of Hospital Mortality In Acute Exacerbation Of Chronic Obstructive Pulmonary Airway Disease:
Abstract
Background:
COPD constitutes of small airway disease and parenchymal destruction in varying proportion of extent and significance,which leads to airflow limitation and mucociliary destruction. COPD is a predominently a chronic disease but a large number of patients frequently suffer from acute worsening of respiratory symptoms and lung functions called as acute exacerbation of the COPD.The exacerbations can be of varied intensity, mild to severe, and the management depends on the severity of illness. Despite of the high burden of the disease,the availability of data regarding prognosis of exacerbations of COPD is limited.This study is aimed at analysis of DECAF (Dyspnoea, Eosinopenia, Consolidation, Acidaemia and atrial Fibrillation) score in prediction of hospital mortality in patients of AECOPD in Indian healthcare settings.
Methods:
Study Settings: The study was conducted in hospitals associated with Kasturba Medical College, Mangalore1. Government Wenlock Hospital. 2. KMC Hospital, Attavar. 3. KMC hospital, Ambedkar circle.
STUDY DESIGN : Longitudnal study.
STUDY DURATION: 2 years from October 2017 to October 2019
SAMPLING PROCEDURE: Consecutive Acute exacerbation of COPD patients attending our hospitals.
SAMPLE POPULATION: In-patients at the above mentioned hospitals.
Results:
After statistical analysis, It was concluded that dyspnea, eosinopenia, acidemia and atrial fibrillation as an independent indicators of in-hospital mortality were highly significant with p- value of 0.00. Consolidation as an independent indicator is significant with p- value of 0.012. Total DECAF score is highly significant with p-value of 0.000.
Conclusion:
Our study concluded that DECAF score is a simple, robust, accurate, easy to use and affordable tool to predict prognosis by estimation of in-hospital mortality in patients of AECOPD.
