Vol. 5, Issue 11, Part D (2019)

Abstract
The DECAF Score: Prognostication Scoring System for Patients Presents to ED with Acute Exacerbations of Chronic Obstructive Pulmonary Disease. Introduction: Chronic obstructive pulmonary disease (COPD) is the fourth most frequent cause of death. In patients presenting to ED with acute exacerbation of COPD (AECOPD), identifying simple, immediately accessible and strong prognostic indicators will aid in management decision. Aim of The Study: To assess the DECAF score as an optimal clinical tool for accurate prognostication of patients presenting to ED with acute exacerbation of chronic obstructive pulmonary disease. Materials and Methods: 50 patients with primary diagnosis of AECOPD were included. Patients were scored according to the DECAF scoring system-Dyspnea, Eosinopenia, Consolidation, Acidemia and atrial Fibrillation. The patients were followed during the entire hospital stay. The clinical outcome was categorized as a) improved b) status quo c) mortality. The role of DECAF score in predicting outcome was analysed. Study period: 1 year June 2018-July 2019. Conclusion: The DECAF score incorporates indices routinely available and helps to stratify patients admitted with AECOPD into clinically relevant risk groups. It aids the emergency physician in taking management decisions and triaging.