Journal article
Development of a Modified BODE Index as a Mortality Risk Measure Among Older Adults With and Without Chronic Obstructive Pulmonary Disease
American journal of epidemiology, Vol.178(7), pp.1150-1160
10/01/2013
DOI: 10.1093/aje/kwt087
PMID: 23928262
Abstract
The BODE index was developed as a prognostic mortality risk tool for persons with chronic obstructive pulmonary disease (COPD). It incorporates 4 measures: body mass index, lung obstruction, dyspnea, and exercise capacity. The intent of this study was to examine how well a BODE-like index constructed using a simpler lung function measure, peak expiratory flow, in combination with physical functioning and symptom information more readily found in survey data (a quasi-BODE index), performs in identifying persons at higher risk of mortality and whether it may be extended as an assessment of mortality risk to persons without diagnosed COPD. Using US national survey data from the Health Retirement Study for 20062010, each unit increase in the quasi-BODE index score was associated with a multiplicative 50 increase in mortality risk (odds ratio 1.50, 95 confidence interval: 1.41, 1.59). The quasi-BODE index is a multidimensional health status instrument based on the BODE index, which is a good predictor of mortality. The quasi-BODE index was compiled using simple measures of physical and respiratory function. It is a potentially useful prognostic instrument for older adult populations with or without COPD, including those with severe physical limitations, particularly when combined with demographic factors and comorbid conditions.
Details
- Title: Subtitle
- Development of a Modified BODE Index as a Mortality Risk Measure Among Older Adults With and Without Chronic Obstructive Pulmonary Disease
- Creators
- Melissa H. Roberts - LCF Res, Hlth Serv Res Div, Albuquerque, NM 87106 USADouglas W. Mapel - LCF Res, Hlth Serv Res Div, Albuquerque, NM 87106 USAShannon Bruse - Lovelace Resp Res Inst, Chron Obstruct Pulm Dis Program, Albuquerque, NM USAHans Petersen - Lovelace Resp Res Inst, Chron Obstruct Pulm Dis Program, Albuquerque, NM USAToru Nyunoya - Lovelace Resp Res Inst, Chron Obstruct Pulm Dis Program, Albuquerque, NM USA
- Resource Type
- Journal article
- Publication Details
- American journal of epidemiology, Vol.178(7), pp.1150-1160
- DOI
- 10.1093/aje/kwt087
- PMID
- 23928262
- ISSN
- 0002-9262
- eISSN
- 1476-6256
- Publisher
- Oxford Univ Press
- Number of pages
- 11
- Grant note
- U01AG009740 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) NIA U01AG009740 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Language
- English
- Date published
- 10/01/2013
- Academic Unit
- Internal Medicine
- Record Identifier
- 9985214172302771
Metrics
1 Record Views