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Study objective: The objective of this study is to determine whether the BODE (body mass index, airflow obstruction, dyspnea and exercise capacity) index correlates with frequency of exacerbation and smoking (pack/year) in patients with COPD Saudi Arabia. Methods: Forty COPD patients were recruited from King Fahad University Hospital and two sets of outcome were measured: the BODE index parameters and the correlation between BODE index with the frequency of exacerbation events as well as the number of packs of cigarettes that a patient consumes in a year. All the statistical analyses were carried out using Statistical Package for the Social Sciences (SPSS) software, version 21.0. Results: There was a positive correlation found between the BODE index and exacerbation events (r=0.389, n=23, p