{"id":2427,"date":"2011-06-28T14:53:10","date_gmt":"2011-06-28T14:53:10","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pulbode\/"},"modified":"2025-05-13T20:28:57","modified_gmt":"2025-05-13T20:28:57","slug":"pulbode","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/pulbode\/","title":{"rendered":"Scoring del \u00cdndice BODE"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El \u00edndice BODE es un \u00edndice multidimensional dise\u00f1ado para evaluar los riesgos cl\u00ednicos en personas con enfermedad pulmonar obstructiva cr\u00f3nica (EPOC). Combina cuatro variables importantes en una sola puntuaci\u00f3n: (B) \u00edndice de masa corporal; (O) obstrucci\u00f3n al flujo a\u00e9reo medido por el volumen espiratorio forzado en un segundo (FEV1), (\u200b\u200bD), disnea medido por la a escala Medical Research Council (MRC) modificada y (E) la capacidad de ejercicio medida por la prueba de la marcha en 6 minutos (TM6M). Cada componente se clasifica y una puntuaci\u00f3n de hasta 10 se obtiene, con puntuaciones m\u00e1s altas indican un mayor riesgo. El \u00edndice BODE refleja el impacto de los factores pulmonares y extrapulmonar en el pron\u00f3stico y la sobrevida en la EPOC.<br \/>\n<!--more--><br \/>\n<strong>Puntuaci\u00f3n BODE<\/strong><\/p>\n<table border=\"1\">\n<tbody>\n<tr>\n<td><strong>\u00a0Variable<\/strong><\/td>\n<td align=\"center\"><strong>\u00a00<\/strong><\/td>\n<td align=\"center\"><strong>\u00a01<\/strong><\/td>\n<td align=\"center\"><strong>\u00a02<\/strong><\/td>\n<td align=\"center\"><strong>\u00a03<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0FEV1, % del predicho<\/td>\n<td align=\"center\">\u00a0&gt;\/= 65<\/td>\n<td align=\"center\">\u00a050\u201365<\/td>\n<td align=\"center\">\u00a035\u201349<\/td>\n<td align=\"center\">\u00a0&lt;\/= 35<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Disnea: MRC<\/td>\n<td align=\"center\">\u00a00\u20131<\/td>\n<td align=\"center\">\u00a02<\/td>\n<td align=\"center\">\u00a03<\/td>\n<td align=\"center\">\u00a04<\/td>\n<\/tr>\n<tr>\n<td>\u00a0TM6M, metros<\/td>\n<td align=\"center\">\u00a0&gt;\/= 350<\/td>\n<td align=\"center\">\u00a0250\u2013349<\/td>\n<td align=\"center\">\u00a0150\u2013249<\/td>\n<td align=\"center\">\u00a0&lt;\/= 149<\/td>\n<\/tr>\n<tr>\n<td>\u00a0IMC<\/td>\n<td align=\"center\">\u00a0&gt; 21<\/td>\n<td align=\"center\">\u00a0&lt;\/= 21<\/td>\n<td align=\"center\"><\/td>\n<td align=\"center\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"hps\">FEV1<\/span>\u00a0<span class=\"hps\">=<\/span>\u00a0<span class=\"hps\">volumen espiratorio forzado en<\/span>\u00a0<span class=\"hps\">1 segundo;<\/span>\u00a0<span class=\"hps\">MRC<\/span>\u00a0<span class=\"hps\">=<\/span>\u00a0Medical Research Council;\u00a0<span class=\"hps\">TM6M<\/span>\u00a0<span class=\"hps\">=<\/span><span class=\"hps\">prueba de<\/span>\u00a0<span class=\"hps\">la marcha de<\/span><span class=\"hps\">\u00a06<\/span>\u00a0<span class=\"hps\">minutos;<\/span>\u00a0<span class=\"hps\">IMC<\/span><span class=\"hps\">=<\/span>\u00a0<span class=\"hps\">\u00edndice de masa<\/span>\u00a0<span class=\"hps\">corporal<\/span><br \/>\n<span class=\"hps\">C\u00e1lculo del \u00edndice<\/span>\u00a0<span class=\"hps\">BODE:<\/span>\u00a0Los p<span class=\"hps\">untos de<\/span>\u00a0<span class=\"hps\">cada variable<\/span>\u00a0<span class=\"hps\">se agregan<\/span>\u00a0<span class=\"hps\">en funci\u00f3n del valor<\/span>\u00a0<span class=\"hps\">de umbral medido<\/span>\u00a0<span class=\"hps\">para cada uno.<\/span>\u00a0<span class=\"hps\">El valor<\/span>\u00a0<span class=\"hps\">oscila entre 0 y<\/span>\u00a0<span class=\"hps\">un m\u00e1ximo de 10<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong><span class=\"hps\">Escala<\/span><span class=\"hps\">\u00a0de disnea<\/span>\u00a0<span class=\"hps\">MRC\u00a0<\/span><span class=\"hps\">Modificada<\/span><\/strong><\/p>\n<table border=\"1\">\n<tbody>\n<tr>\n<td>\u00a00<\/td>\n<td>\u00a0<span class=\"hps\">Falta de aire<\/span>\u00a0<span class=\"hps\">solo con<\/span>\u00a0<span class=\"hps\">el ejercicio vigoroso<\/span><\/td>\n<\/tr>\n<tr>\n<td>\u00a01<\/td>\n<td>\u00a0<span class=\"hps\">Falta de aire<\/span>\u00a0<span class=\"hps\">al correr<\/span>\u00a0<span class=\"hps\">en el<\/span>\u00a0<span class=\"hps\">suelo a nivel o subiendo<\/span>\u00a0<span class=\"hps\">una peque\u00f1a pendiente<\/span><\/td>\n<\/tr>\n<tr>\n<td>\u00a02<\/td>\n<td>\u00a0<span class=\"hps\">M\u00e1s lento<\/span>\u00a0<span class=\"hps\">que la mayor\u00eda de<\/span>\u00a0<span class=\"hps\">la gente<\/span>\u00a0<span class=\"hps\">de la misma edad<\/span>\u00a0<span class=\"hps\">en el suelo a nivel<\/span>\u00a0<span class=\"hps\">debido a la<\/span>\u00a0<span class=\"hps\">falta de aire<\/span>\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">tiene que parar para<\/span>\u00a0<span class=\"hps\">respirar cuando camina a<\/span>l\u00a0<span class=\"hps\">ritmo habitual<\/span>\u00a0<span class=\"hps\">en el suelo a nivel<\/span><\/td>\n<\/tr>\n<tr>\n<td>\u00a03<\/td>\n<td>\u00a0<span class=\"hps\">Parar para respirar<\/span>\u00a0<span class=\"hps\">despu\u00e9s de caminar<\/span>\u00a0<span class=\"hps\">unos 100 metros<\/span>\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">despu\u00e9s de unos minutos<\/span>\u00a0<span class=\"hps\">al ritmo habitual<\/span>\u00a0<span class=\"hps\">en el suelo a nivel<\/span><\/td>\n<\/tr>\n<tr>\n<td>\u00a04<\/td>\n<td>\u00a0<span class=\"hps\">Sin aire<\/span>\u00a0<span class=\"hps\">para<\/span>\u00a0<span class=\"hps\">salir de la casa<\/span>\u00a0<span class=\"hps\">o falta de aire\u00a0<\/span><span class=\"hps\">al vestirse<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Celli BR, Cote CG, Marin JM, Casanova C, Montes de Oca M, Mendez RA, Pinto Plata V, Cabral HJ. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004 Mar 4;350(10):1005-12.\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/14999112\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Cote CG, Celli BR. BODE index: a new tool to stage and monitor progression of chronic obstructive pulmonary disease. Pneumonol Alergol Pol. 2009;77(3):305-13.\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19591105\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>Creado Jun 28, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El \u00edndice BODE es un \u00edndice multidimensional dise\u00f1ado para evaluar los riesgos cl\u00ednicos en personas con enfermedad pulmonar obstructiva cr\u00f3nica (EPOC). Combina cuatro variables importantes en una sola puntuaci\u00f3n: (B) \u00edndice de masa corporal; (O) obstrucci\u00f3n al flujo a\u00e9reo medido por el volumen espiratorio forzado en un segundo (FEV1), (\u200b\u200bD), disnea medido por la a [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[1204,59,222,450,794],"class_list":["post-2427","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-bode","tag-index","tag-indice","tag-score","tag-scoring"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2427","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2427"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2427\/revisions"}],"predecessor-version":[{"id":7173,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2427\/revisions\/7173"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2427"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}