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Volume 350:2308-2310 May 27, 2004 Number 22
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Predicting Outcomes in Chronic Obstructive Pulmonary Disease

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 by Celli, B. R.
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To the Editor: Celli and colleagues (March 4 issue)1 propose the use of a new index (the BODE index) that has excellent predictive power with regard to outcome in chronic obstructive pulmonary disease (COPD). The BODE index combines four variables: the body-mass index (B); the degree of airflow obstruction (O), assessed according to the forced expiratory volume in one second (FEV1); the degree of dyspnea (D) on the modified Medical Research Council dyspnea scale; and exercise capacity (E), assessed as the distance walked in six minutes. We have found that the presence of the paradoxical inspiratory movement of the . . . [Full Text of this Article]


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