The BODE index is a multidimensional grading system for COPD that predicts 4-year all-cause and respiratory mortality. It incorporates BMI, airflow obstruction (FEV₁), dyspnea (mMRC), and exercise capacity (6MWD). Scores range from 0 to 10.
Short of breath when hurrying or on slight incline
0
2
Walks slower than peers or stops on level ground
1
3
Stops for breath after ~100m or a few minutes
2
4
Too breathless to leave house or when dressing
3
Clinical Notes
The BODE index is superior to FEV₁ alone in predicting mortality in COPD. It captures the systemic nature of COPD beyond pulmonary function.
BODE ≥5: Consider referral for lung transplant evaluation. BODE 5–6 is a common threshold used by transplant centers. Most centers require BODE ≥7 for listing.
Pulmonary rehabilitation can improve 6MWD and mMRC grade, potentially lowering the BODE score and improving prognosis. Monitor BODE longitudinally.
For educational use only. Not a substitute for clinical judgment.
