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BAP 65 Score for Acute Exacerbation of COPD

Bap 65 Score calculator


Chronic Obstructive Pulmonary Disease or COPD  is gaining importance in the arena of medical science and public health as it is supposed to receive consideration by the year 2020 of the third stimulating cause of death. Presently, the medical industry has no authenticated score for evaluating the risking phenomena in the patients having an infection in the lungs. In the year 2011, the BAP-65 score has been launched in the «CHEST» journal. It provided help in forecasting if the patient requires mechanical ventilation. Similarly, it also foretells if a person has likelihood of mortality in the case of severe exacerbation of COPD.

Consequently, some medical practitioners carry out research for the application of the BAP-65 score in the country of Lebanon. The main reason behind this approach was to check its authenticity in associating it with the scientific and organic position of the patient having severe exacerbation of COPD with a risk of death.


What are the Methods involved?

The doctors analyzed 980 patients who were admitted to two hospitals in Lebanon from the year 2005 till 2013 were having a release of analysis of extreme exacerbation of Chronic Obstructive Pulmonary Disease. The fundamental outcomes were the deaths and the need for mechanical ventilation.

The physicians made use of SPSS statistics software and it was 17th version. SPSS Statistics is a software which is used for synergetic, or series of data for analysis based on statistics. Originally it was produced by SPSS Inc., but it was taken over by IBM in the year 2009. However, the version produced in the year 2015 is known as IBM SPSS Statistics.


What was the outcome?

Out of the total, 170 patients which are equivalent to 17.3% needed mechanical ventilation (MV) and 59 patients which is equivalent to 6% died in the hospital. The data described that both final junctures rose with increasing BAP-65. The 1.3% of patients having a score of either 0 or 1 required cannulization.

However, 74% of patients having a score of either 3 or 4 were cannulated, the probability value of it was lesser than 0.001. Furthermore, less than 1% of patients having a score of either 0 or 1 died, but 51% of those involved in the research having a score of either 3 or 4 passed away, again the probability was lesser than 0.001.


What is the final verdict?

The BAP-65 criterion of scoring is a beneficial and easy to use apparatus in order to categorize the patients having an acute exacerbation of chronic obstructive pulmonary disease or AECOPD, and it associates with the case of mechanical ventilation (MV) and death. Moreover, it demonstrated persistent outcomes when used with umpteen number of people.

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