Multidimensional approach and mortality risk stratification scores in chronic obstructive pulmonary disease.
DOI:
https://doi.org/10.52692/1857-0011.2025.3-83.19Keywords:
COPD, mortality, comorbidities, CODEX, BNPAbstract
Chronic obstructive pulmonary disease (COPD) is associated with systemic manifestations and frequent cardiovascular comorbidities. These comorbidities significantly affect patient prognosis. We prospectively evaluated 426 hospitalized patients with COPD exacerbations using spirometry, CAT and mMRC questionnaires, comorbidity indices, and biomarkers. Independent predictors of mortality included elevated BNP, reduced FEV1, and higher CODEX score. Multidimensional assessment provides superior prognostic stratification compared to spirometry alone.
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