Evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis

Evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis

Objective: To investigate the presence of previously undiagnosed radiographic bronchiectasis in stable chronic obstructive pulmonary disease (COPD) patients using high resolution computed tomography (HRCT) and to evaluate the effect of radiographic bronchiectasis on the symptoms and risks in stable...

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Autores principales: Rong-Bao Zhang, Fei Yuan, Xing-Yu Tan, Quan-Ying He
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2017
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Medicine (General)
R5-920
Acceso en línea:https://doaj.org/article/43682eed010b4e979fbee34a7f9a3f31
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spelling oai:doaj.org-article:43682eed010b4e979fbee34a7f9a3f312021-12-02T16:43:23ZEvaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis2095-882X10.1016/j.cdtm.2017.02.007https://doaj.org/article/43682eed010b4e979fbee34a7f9a3f312017-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X16300974https://doaj.org/toc/2095-882XObjective: To investigate the presence of previously undiagnosed radiographic bronchiectasis in stable chronic obstructive pulmonary disease (COPD) patients using high resolution computed tomography (HRCT) and to evaluate the effect of radiographic bronchiectasis on the symptoms and risks in stable COPD patients. Methods: From May 2012 to April 2014, there were 347 patients enrolled in COPD database. Data describing the general conditions, the frequency of acute exacerbations the year before, COPD assessment test, modified medical research council (mMRC) score, spirometric classification, and HRCT were collected. COPD patients were classified into two groups: COPD with bronchiectasis and COPD without bronchiectasis. The clinical characteristics of both groups were compared. Results: Bronchiectasis was presented in 18.4% (n = 64). The proportion of smokers, smoking index, and forced expiratory volume in 1 second predicted value were 62.5%, 27.3 ± 13.2, 48.2 ± 26.4, respectively, in the bronchiectasis group, which were lower than those of the group without bronchiectasis (82.0%, 32.6 ± 17.6, and 57.9 ± 18.8) (P < 0.05). Complications, COPD assessment test (CAT) and the rate of CATâ¥10 in the bronchiectasis group were 2.8 ± 1.7,13.6 ± 7.4 and 26.6%, respectively, which were higher than those of the group without bronchiectasis (2.3 ± 1.5,11.3 ± 6.0, and 11.7%) (P < 0.05). The proportion of type D (high-risk more-symptoms) in the bronchiectasis group was 50.0%; it was significantly higher than that of 35.7% in the group without bronchiectasis (P < 0.05). Conclusions: COPD with bronchiectasis is associated with more complications, symptoms, and risks. More attention should be paid to the treatment of COPD with bronchiectasis to reduce the frequency of exacerbation and improve the health status. Keywords: Bronchiectasis, Chronic obstructive pulmonary disease, Combined assessment, High resolution computed tomography, Symptoms and riskRong-Bao ZhangFei YuanXing-Yu TanQuan-Ying HeKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 3, Iss 3, Pp 176-180 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
spellingShingle Medicine (General)
R5-920
Rong-Bao Zhang
Fei Yuan
Xing-Yu Tan
Quan-Ying He
Evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis
description Objective: To investigate the presence of previously undiagnosed radiographic bronchiectasis in stable chronic obstructive pulmonary disease (COPD) patients using high resolution computed tomography (HRCT) and to evaluate the effect of radiographic bronchiectasis on the symptoms and risks in stable COPD patients. Methods: From May 2012 to April 2014, there were 347 patients enrolled in COPD database. Data describing the general conditions, the frequency of acute exacerbations the year before, COPD assessment test, modified medical research council (mMRC) score, spirometric classification, and HRCT were collected. COPD patients were classified into two groups: COPD with bronchiectasis and COPD without bronchiectasis. The clinical characteristics of both groups were compared. Results: Bronchiectasis was presented in 18.4% (n = 64). The proportion of smokers, smoking index, and forced expiratory volume in 1 second predicted value were 62.5%, 27.3 ± 13.2, 48.2 ± 26.4, respectively, in the bronchiectasis group, which were lower than those of the group without bronchiectasis (82.0%, 32.6 ± 17.6, and 57.9 ± 18.8) (P < 0.05). Complications, COPD assessment test (CAT) and the rate of CATâ¥10 in the bronchiectasis group were 2.8 ± 1.7,13.6 ± 7.4 and 26.6%, respectively, which were higher than those of the group without bronchiectasis (2.3 ± 1.5,11.3 ± 6.0, and 11.7%) (P < 0.05). The proportion of type D (high-risk more-symptoms) in the bronchiectasis group was 50.0%; it was significantly higher than that of 35.7% in the group without bronchiectasis (P < 0.05). Conclusions: COPD with bronchiectasis is associated with more complications, symptoms, and risks. More attention should be paid to the treatment of COPD with bronchiectasis to reduce the frequency of exacerbation and improve the health status. Keywords: Bronchiectasis, Chronic obstructive pulmonary disease, Combined assessment, High resolution computed tomography, Symptoms and risk
format article
author Rong-Bao Zhang
Fei Yuan
Xing-Yu Tan
Quan-Ying He
author_facet Rong-Bao Zhang
Fei Yuan
Xing-Yu Tan
Quan-Ying He
author_sort Rong-Bao Zhang
title Evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis
title_short Evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis
title_full Evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis
title_fullStr Evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis
title_full_unstemmed Evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis
title_sort evaluation of symptoms and risks in stable chronic obstructive pulmonary disease patients with radiographic bronchiectasis
publisher KeAi Communications Co., Ltd.
publishDate 2017
url https://doaj.org/article/43682eed010b4e979fbee34a7f9a3f31
work_keys_str_mv AT rongbaozhang evaluationofsymptomsandrisksinstablechronicobstructivepulmonarydiseasepatientswithradiographicbronchiectasis
AT feiyuan evaluationofsymptomsandrisksinstablechronicobstructivepulmonarydiseasepatientswithradiographicbronchiectasis
AT xingyutan evaluationofsymptomsandrisksinstablechronicobstructivepulmonarydiseasepatientswithradiographicbronchiectasis
AT quanyinghe evaluationofsymptomsandrisksinstablechronicobstructivepulmonarydiseasepatientswithradiographicbronchiectasis
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