DECAF score for COPD exacerbation
In-hospital mortality in acute exacerbation of COPD.
Inputs
CompleteDyspnea (extended MRC)
Eosinopenia (below 0.05 × 10⁹/L)
Consolidation on chest X-ray
Acidemia (pH below 7.30)
Atrial fibrillation
Worked calculation
Your values are highlighted.
- Points
When to use
- Hospitalized COPD exacerbation.
Pearls and pitfalls
- DECAF 0–1 patients may be suitable for hospital-at-home or early discharge.
Why use
Strong discrimination using routine data.
| Criterion | Points |
|---|---|
| Dyspnea (extended MRC): Not too breathless to leave the house | 0 |
| Too breathless to leave the house, independent in washing and dressing (5a) | +1 |
| Too breathless to leave the house, dependent in washing and dressing (5b) | +2 |
| Eosinopenia (below 0.05 × 10⁹/L) | +1 |
| Consolidation on chest X-ray | +1 |
| Acidemia (pH below 7.30) | +1 |
| Atrial fibrillation | +1 |