Exacerbation Risk Score of Niewoehner et al for a Patient with Chronic Obstructive Pulmonary Disease (COPD)

Purpose: To evaluate a patient with moderate to severe COPD for the risk of exacerbation using the score of Niewoehner et al.

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Evaluation

Are you evaluating a patient with moderate to severe COPD?

Yes

Age of the patient

years

FEV1 (enter from 10 to 100)

percent of predicted

Number of years with COPD

years

Does the patient have a productive cough?

Yes

Is the patient being treated with theophylline?

Yes

Number of courses of antibiotics for COPD in the past year

Number of courses of systemic steroids for COPD in the past year

Number of hospital admission for COPD in the past year

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

Percent probability of having an exacterbation of COPD within the next 6 months

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Changes of Emphysema in Plain Chest Radiograph (Chest X-Ray)
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags

Therapy

Options
Selection
Administration
- Indicators for COPD Patient Being Admitted to Hospital from ED
Referral And Transfer
- Indications for Referral of Patient with COPD to Pulmonologist

Monitoring

Disease Progression
Complication Detection
- Model of Murata et al for Predicting Relapse Following Outpatient Treatment for Decompensated Chronic Obstructive Pulmonary Disease (COPD)

Specialty

Pulmonology

Objective

risk factors
severity
prognosis
stage
complications
selection

ICD-10

J42 - Unspecified chronic bronchitis
J43 - Emphysema
J44 - Other chronic obstructive pulmonary disease

Info

Purpose: To evaluate a patient with moderate to severe COPD for the risk of exacerbation using the score of Niewoehner et al.

Specialty: Pulmonology

Objective: risk factors, severity, prognosis, stage, complications, selection

ICD-10: J42, J43, J44,

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