Pulmonology Risk score Strong evidence Clinical review pending v1.0.0

BODE Index for COPD

What is the long-term mortality risk in COPD?

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Fields marked * are required. Units can be changed per field.

Body weight

Height

FEV₁ % predicted (post-bronchodilator)

mMRC dyspnoea scale

0 — Breathless only with strenuous exercise 1 — Short of breath hurrying on level ground or walking up a slight hill 2 — Walks slower than peers or stops for breath at own pace 3 — Stops for breath after ~100 m or a few minutes on level ground 4 — Too breathless to leave the house or when dressing

6-minute walk distance

metres

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About this tool

Multidimensional index of BMI, airflow Obstruction, Dyspnoea and Exercise capacity.

Intended use

Stable outpatients with COPD.

Outcome

All-cause and respiratory mortality

Time horizon

~4 years (median follow-up)

Derivation population

Outpatients with COPD in the US, Spain and Venezuela.

Limitations

Requires a 6-minute walk test.
Not for use during exacerbations.

Clinical problems

Respiratory failure and COPD

Evidence

Evidence level

Strong evidence

Derived and externally validated in multiple cohorts (including prospective studies) and incorporated into major clinical guidelines. Methodology

Evidence summaries for this tool are awaiting independent clinical review. Statistics are shown only where they could be attributed to a specific publication.

References

Original publicationCelli BR, Cote CG, Marin JM, et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med 2004;350:1005-1012. Find on PubMed (opens in a new tab)

Version history

Version	Formula	Effective	Reviewer	Changes
v1.0.0	Celli 2004	2026-10-03	—	Initial implementation with reference test vectors.

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