Chronic Obstructive Pulmonary Disease - Prognosis

Prognosis

COPD usually gradually gets worse over time and can lead to death. The rate at which it gets worse varies among individuals. The factors that predict a poorer prognosis are:

  • Severe airflow obstruction (low FEV1)
  • Poor exercise capacity
  • Shortness of breath
  • Significantly underweight or overweight
  • Complications like respiratory failure or cor pulmonale
  • Continued smoking
  • Frequent acute exacerbations

Prognosis in COPD can be estimated using the Bode Index. This scoring system uses FEV1, body-mass index, 6-minute walk distance, and the modified MRC dyspnea scale to estimate outcomes in COPD.

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