COMPARISON BETWEEN CURB-65 AND BAP-65 IN THE PREDICTION OF MECHANICAL VENTILATION IN PATIENTS WITH THE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Objectives: to compare between CURB-65 and BAP-65 in the prediction of mechanical ventilation in patients with the exacerbation of chronic obstrutive pulmonary disease (COPD). Study design: Retrospective study. Subjects and methods: 419 COPD patients were admitted to Emergency Department of Bach Mai Hospital from January 01, 2013 to June 06, 2014. Results: There were 378 patients (90.2%) who were not mechanically ventilated, 41 patients (9.8%) who were on invasive mechanical ventilation. The area under curve (AUROC) of BAP-65 was higher than that of CURB-65 in the predection of mechanical ventilation : 0.93 95% CI: 0.90-0.95) and 0.90 95% CI: 0.87-0.93) (p= 0,272) respectively. Conclusions: Both BAP-65 and CURB-65 could be seen as a useful tool for the risk statification for initiation of mechanical ventilation on patients with the exacerbation of COPD, however, BAP-65 was high accuracy than that of CURB-65. Key words: Mechanical ventilation, CURB-65, BAP-65, Exacerbation of COPD.