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- Title
Factors associated with radiologic progression of non-cystic fibrosis bronchiectasis during long-term follow-up.
- Authors
Park, Jisoo; Kim, Sejoong; Lee, Yeon Joo; Park, Jong Sun; Cho, Young‐Jae; Yoon, Ho Il; Lee, Kyoung‐won; Lee, Choon‐Taek; Lee, Jae Ho
- Abstract
Background and objective Non-cystic fibrosis (CF) bronchiectasis is a chronic airway inflammatory disease, exhibiting a diverse array of clinical courses. The purpose of this study was to determine the factors that predict radiologic progression of non-CF bronchiectasis during a long-term follow-up. Methods We reviewed the electronic medical records that included pulmonary function test data from non-CF bronchiectasis patients, who were older than 18 years of age with a follow-up of computerized tomography for more than 5 years. The original Bhalla score was used to determine the radiologic severity of non-CF bronchiectasis. Results A total of 155 patients (mean age, 59.6 years; male, 45.2%) were included for the final analysis. The mean follow up time was 7.11 ± 1.42 (5-10) years. The baseline Bhalla score was 9.52 ± 3.14 (4-19), and the change of Bhalla score was 0.55 ± 1.14 (−2 to 5). The Bhalla score was increased in 56 patients (36.1%) but not in 99 patients (63.9%). The Bhalla score change was significantly associated with the age at diagnosis ( p = 0.037), body mass index (BMI, p = 0.012), chronic infection of Pseudomonas aeruginosa ( p = 0.005) or isolation of nontuberculous mycobacterium ( p = 0.042) in respiratory specimens. In a multivariate analysis, BMI and isolation of P. aeruginosa were significantly related with the Bhalla score change. Conclusion The radiologic progression of non-CF bronchiectasis was associated with lower BMI and isolation of P. aeruginosa in respiratory specimens.
- Subjects
FIBROSIS; BRONCHIECTASIS; AIRWAY (Anatomy); INFLAMMATION; ELECTRONIC health records
- Publication
Respirology, 2016, Vol 21, Issue 6, p1049
- ISSN
1323-7799
- Publication type
Article
- DOI
10.1111/resp.12768