Skip to main content
. 2023 May 21;329(21):1832–1839. doi: 10.1001/jama.2023.2065

Table 1. Characteristics of Participants With COPD by Mucus Plug Score Category.

Characteristic Mucus plug score category (No. of lung segments with mucus plugs), No. (%)
0 (n = 2585) 1-2 (n = 953) ≥3 (n = 825)
Age, median (IQR), y 62.4 (55.9-68.7) 63.9 (57.6-70.6) 65.3 (57.9-71.1)
Sex
Female 1072 (41.5) 448 (47.0) 400 (48.5)
Male 1513 (58.5) 505 (53.0) 425 (51.5)
Race and ethnicitya
Non-Hispanic Black 636 (24.6) 199 (20.9) 142 (17.2)
Non-Hispanic White 1949 (75.4) 754 (79.1) 683 (82.8)
BMI, median (IQR) 27.6 (24.2-31.9) 26.8 (23.4-31.0) 25.5 (22.1-30.1)
Current smoker, No. (%) [No.] 1155 (44.7) [2584] 383 (40.2) 347 (42.1) [824]
Pack-years of smoking, median (IQR) 44.3 (33.2-64) 46.1 (35.0-65.7) 47.6 (35.0-67.6)
Medical history
Chronic bronchitis 584 (22.6) 248 (26.0) 293 (35.5)
Coronary artery disease 417 (16.1) 154 (16.2) 113 (13.7)
Asthmab 406 (15.7) 168 (17.6) 187 (22.7)
COPD GOLD stage of severityc
1 (Mild) 597 (23.1) 116 (12.2) 53 (6.4)
2 (Moderate) 1250 (48.4) 389 (40.8) 248 (30.1)
3 (Severe) 523 (20.2) 297 (31.2) 307 (37.2)
4 (Very severe) 215 (8.3) 151 (15.8) 217 (26.3)
BODE index, median (IQR) [No.]d 2 (0-4) [2525] 3 (1-5) [924] 4 (2-6) [803]
FEV1, L 1.8 (1.3-2.4) 1.4 (0.9-1.9) 1.1 (0.8-1.6)
FEV1, % predicted 65.0 (47.1-78.4) 51.9 (36.4-69.7) 42.1 (29.1-59.4)
Emphysema on CT, median (IQR) [No.], %e 5.6 (1.8-14.9) [2466] 9.2 (2.8-22.1) [916] 12.4 (3.4-24.2) [787]
Airway wall thickness, median (IQR) [No.], mmf 2.5 (2.1-2.9) [2466] 2.7 (2.3-3.1) [916] 2.9 (2.5-3.3) [787]

Abbreviations: BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); BODE, body mass index, obstruction, dyspnea, and exercise mortality risk score; COPD, chronic obstructive pulmonary disease; CT, computed tomography; FEV1, forced expiratory volume in the first second of expiration; GOLD, Global Initiative for Chronic Obstructive Lung Disease.

a

Race and ethnic group were reported by the participant. Only non-Hispanic Black and non-Hispanic White participants were included.

b

Asthma was defined as current asthma.

c

GOLD stages were defined with postbronchodilator FEV1 percentage of predicted (pp) values as follows: 1 (mild), FEV1 pp ≥80; 2 (moderate), FEV1 pp ≥50 to <80; 3 (severe) FEV1 pp ≥30 to <50; and 4 (very severe), FEV1 pp <30.

d

The multidimensional mortality BODE index is composed of 4 factors: BMI, FEV1 percentage predicted, distance walked in 6 minutes, and the modified Medical Research Council dyspnea scale. The BODE index ranges from 0 (lowest risk of death) to 10 (highest risk of death).

e

Emphysema on CT was measured as percentage of voxels less than −950 Hounsfield units.

f

Airway wall thickness was measured on CT as the square root of the wall area of an ideal 10-mm-inner-perimeter airway.