🫁 DECAF Score (COPD Exacerbation)
Predict in-hospital mortality in acute COPD exacerbation with the DECAF score.
DECAF Score (COPD Exacerbation)
Extended MRC Dyspnoea Scale
Eosinopenia (< 0.05 ×10⁹/L)
Consolidation on CXR
Acidaemia (pH < 7.30)
Atrial fibrillation
When to use
Risk-stratify hospitalised COPD exacerbations.
How it works
Dyspnoea (eMRCD 5a 1 / 5b 2), Eosinopenia (1), Consolidation (1), Acidaemia pH < 7.30 (1), atrial Fibrillation (1). 0–6.
Key points
- 0–1 low, 2–3 intermediate, 4–6 high mortality.
- Helps guide level of care and treatment ceilings.
- Uses data available on admission.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.