Objective: We aimed to evaluate the predictive performance of the Rome proposal in patients with AE-COPD.
Methods: This observational study assessed the patients who visited the emergency room (ER) or were hospitalized due to AE-COPD between January 2010 and December 2020. We compared the performance of the Rome Proposal with that of the DECAF score or GesEPOC 2021 criteria in predicting intensive care unit (ICU) admission, need for non-invasive ventilation (NIV) or invasive mechanical ventilation (IMV), and in-hospital mortality.
Conclusion: External validation of the Rome Proposal in Korean patients showed an excellent performance for ICU admission and need for NIV or IMV and an acceptable performance for in-hospital mortality.