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Table 3 Comparison of clinical characteristics in COPD patients with frequent exacerbation versus those with infrequent exacerbation

From: Clinical features of Japanese patients with exacerbations of chronic obstructive pulmonary disease

 

Infrequent exacerbator

Frequent exacerbator

Univariate analysis

n

61

27

 

Age (years)

74.0 ± 1.2

71.7 ± 0.4

0.3

BMI (kg/m2)

20.9 ± 0.4

19.0 ± 0.8

0.03

Smoking history (pack-year)

61.2 ± 4.4

67.3 ± 7.5

0.46

Comorbidity

   

 Hypertension

30 (49.2%)

12 (44.4%)

0.68

 Diabetes mellitus

10 (16.4%)

8 (29.6%)

0.17

 Hyperlipidemia

12 (19.7%)

3 (11.1%)

0.31

 Cardiovascular disease

19 (31.2%)

8 (30.7%)

0.89

COPD assessment test

19.8 ± 2.1

20.0 ± 1.7

0.94

Critical exacerbation

4 (6.6%)

10 (38.5%)

< 0.01

Laboratory data

   

 White blood cell (/ml)

7067.2 ± 217.8

6296.3 ± 387.1

0.07

 Blood eosinophil (%)

2.44 ± 0.29

3.76 ± 0.55

< 0.01

 Blood eosinophil count (/ml)

154.7 ± 16.9

233.4 ± 37.4

0.03

 Serum albumin (g/dl)

3.60 ± 0.07

3.62 ± 0.09

0.84

 CO2 retention

12/60(20%)

11/27 (40.7%)

0.05

Pulmonary function test

   

 VC (L)

2.89 ± 0.11

2.73 ± 0.14

0.42

 FVC (L)

2.70 ± 0.11

2.52 ± 0.13

0.35

 FEV1.0 (L)

1.32 ± 0.08

1.05 ± 0.09

0.04

 FEV1.0/FVC (%)

48.6 ± 1.8

42.2 ± 2.6

0.05

 %FEV1.0 (%)

63.3 ± 3.3

48.0 ± 3.5

< 0.01

 DLco (%)

54.4 ± 4.6

59.3 ± 6.3

0.56

TRPG (mmHg)

36.2 ± 2.4

42.6 ± 4.5

0.18

History

   

 Mechanical ventilation use

7 (11.5%)

11 (40.7%)

< 0.01

Treatment

   

 Long-term oxygen therapy

21 (34.4%)

21 (77.8%)

< 0.01

 Home ventilation use

4 (6.6%)

4 (14.8%)

0.23

 LAMA

29 (47.5%)

20 (74.1%)

0.02

 LABA

38 (62.3%)

22 (81.5%)

0.07

 ICS

29 (47.5%)

12 (44.4%)

0.79

 Macrolide

10 (16.4%)

13 (48.1%)

< 0.01

 β blocker

8 (13.1%)

4 (14.8%)

0.8

  1. COPD chronic obstructive pulmonary disease, BMI body mass index, VC vital capacity, FVC forced vital capacity, FEV1.0 forced expiratory volume in 1.0 s, DLco diffusing capacity of lung for carbon monoxide, TRPG transtricuspid pressure gradient, LAMA long acting muscarinic antagonist, LABA long acting β2 adrenergic agonist, ICS inhaled corticosteroid. Data are presented as mean ± standard deviation