Three-month Treatment Response and Exacerbation in Chronic Obstructive Pulmonary Disease
Journal of Korean Medical Science
; : 54-59, 2015.
Article
de En
| WPRIM
| ID: wpr-154367
Bibliothèque responsable:
WPRO
ABSTRACT
The aim of this study was to investigate relationships between acute exacerbation and Forced Expiratory Volume 1 second (FEV1) improvement after treatment with combined long-acting beta-agonist (LABA) and inhaled corticosteroid (ICS) in patients with chronic obstructive pulmonary disease (COPD). A total of 137 COPD patients were classified as responders or nonresponders according to FEV1 improvement after 3 months of LABA/ICS treatment in fourteen referral hospitals in Korea. Exacerbation occurrence in these two subgroups was compared over a period of 1 yr. Eighty of the 137 COPD patients (58.4%) were classified as responders and 57 (41.6%) as nonresponders. Acute exacerbations occurred in 25 patients (31.3%) in the responder group and in 26 patients (45.6%) in the nonresponder group (P=0.086). FEV1 improvement after LABA/ICS treatment was a significant prognostic factor for fewer acute exacerbations in a multivariate Cox proportional hazard model adjusted for age, sex, FEV1, smoking history, 6 min walk distance, body mass index, exacerbation history in the previous year, and dyspnea scale.Three-month treatment response to LABA/ICS might be a prognostic factor for the occurrence of acute exacerbation in COPD patients.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Récidive
/
Spirométrie
/
Bronchodilatateurs
/
Fumer
/
Volume expiratoire maximal par seconde
/
Résultat thérapeutique
/
Hormones corticosurrénaliennes
/
Budésonide
/
Broncho-pneumopathie chronique obstructive
/
Association de médicaments
Type d'étude:
Prognostic_studies
Limites du sujet:
Female
/
Humans
/
Male
Pays comme sujet:
Asia
langue:
En
Texte intégral:
Journal of Korean Medical Science
Année:
2015
Type:
Article