respiratory

BAP-65 Score for Acute Exacerbation of COPD

BUN, altered mental status, pulse ≥109, age ≥65 (BAP-65) score predicts in-hospital mortality and need for mechanical ventilation in AECOPD.

Used in: COPD

Score interpretation

Class I/II — Low Risk 0

BAP-65 Class I or II — in-hospital mortality <1–2%

→ Standard ward management; standard AECOPD therapy; consider early discharge

Class III — Moderate Risk 1–2

BAP-65 Class III — in-hospital mortality ~5–8%; mechanical ventilation in ~5%

→ Inpatient admission; close monitoring; early NIV if acidaemic; respiratory therapy

Class IV/V — High Risk 3–4

BAP-65 ≥3 — in-hospital mortality >10%; mechanical ventilation risk higher

→ ICU/HDU admission; early mechanical ventilation consideration; goals-of-care discussion

Interpretation bands for the BAP-65. Apply clinical judgement and local guidance.

Shorr AF et al. Predicting the need for mechanical ventilation in acute exacerbations of COPD. Respir Care. 2007;52(12):1786–1793.

Curated clinical cross-links plus same-class fallbacks.

Calculators

Drugs

Pathways

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.