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. 2006 Mar 16;173(12):1326–1334. doi: 10.1164/rccm.200510-1677OC

TABLE 2.

UNIVARIATE MORTALITY MODEL IN 609 PATIENTS WITH SEVERE EMPHYSEMA

Variable n Hazard Ratio (95% CI) p Value
Demographic/Clinical
 Age, yr
  70–83 194 1.56 (1.23–2.32) < 0.0001
  40–69 415 Reference
 Sex
  Male 391 0.94 (0.63–1.19) 0.60
  Female 218 Reference
 Race
  Non-white 35 1.06 (0.66–1.68) 0.82
  White 574 Reference
 Annual income
  < $15,000 112 1.04 (0.77–1.39) 0.82
  ⩾ $15,000 496 Reference
 BMI, kg/m2
  High (⩾ 28.1) 123 0.77 (0.56–1.06) 0.11
  Medium (reference) 362 Reference
  Low (⩽ 21.4) 123 1.48 (1.13–1.95) 0.005
 Oxygen use (rest, exercise, or sleeping)
  Yes 495 1.80 (1.30–2.49) < 0.001
  No 114 Reference
 Hemoglobin, g/dl
  9.1–13.3 129 1.63 (1.26–2.12) < 0.001
  13.4–19.1 479 Reference
Health status
 Quality of Well-Being (QWB)
  0.16–0.49 122 1.47 (1.13–1.93) 0.005
  0.50–0.89 487 Reference
 SGRQ
  65.3–88.8 122 1.62 (1.24–2.10) < 0.001
  18.7–65.2 487 Reference
 UCSD SOBQ
  79–109 131 1.89 (1.46–2.45) < 0.001
  9–78 478 Reference
Physiology
 FEV1% predicted
  11–21 150 1.44 (1.11–1.85) 0.005
  22–54 459 Reference
 TLC % predicted
  140–203 131 1.07 (0.81–1.41) 0.65
  95–139 478 Reference
 Residual volume % predicted
  262–412 124 1.41 (1.07–1.85) 0.01
  97–261 485 Reference
 IC/TLC
  0.04–0.17 122 1.80 (1.39–2.34) < 0.001
  0.18–0.45 487 Reference
 DlCO, % predicted
  6–21 148 1.89 (1.48–2.41) < 0.001
  22–68 457 Reference
 Pimax % predicted
  3–17 138 1.12 (0.86–1.47) 0.39
  18–57 462 Reference
 Pemax % predicted
  4–14 140 1.02 (0.78–1.34) 0.88
  15–50 462 Reference
Arterial blood gas
 PaO2, mm Hg
  36–55 133 1.65 (1.28–2.13) < 0.001
  56–95 475 Reference
 PaCO2, mm Hg
  47–66 131 1.35 (1.04–1.77) 0.03
  29–46 477 Reference
Exercise testing
 Maximal 6MWT distance, m
  144–288 123 2.02 (1.56–2.61) < 0.001
  289–652 486 Reference
 Maximal CPET workload, W
  Low* 271 2.20 (1.74–2.78) < 0.001
  High* 338 Reference
Computed tomography
 Percent emphysema in whole lung
  25.7–48.5 111 1.14 (0.85–1.52) 0.38
  0.4–25.6 441 Reference
  Missing 57 0.96 (0.65–1.41) 0.82
 Difference in % emphysema (upper lung:lower lung)
  −40.4 to −0.9 111 1.39 (1.04–1.85) 0.02
  −0.8 to 63.6 441 Reference
  Missing 57 0.99 (0.68–1.46) 0.98
 Alpha for whole lung
  0.4–0.9 111 0.99 (0.73–1.34) 0.94
  1.0–1.8 441 Reference
  Missing 57 0.93 (0.63–1.36) 0.71
 Difference in alpha (upper lung–lower lung)
  0.4 to 1.6 111 1.22 (0.91–1.64) 0.18
  −1.6 to 0.3 441 Reference
  Missing 57 0.97 (0.66–1.42) 0.87
 Distribution of emphysema (radiologist)
  Homogeneous 274 1.14 (0.90–1.43) 0.28
  Heterogeneous 335 Reference
Nuclear perfusion scan
 Perfusion ratio (upper lung:lower lung)
  0.04–0.14 136 1.28 (0.98–1. 68) 0.07
  0.15–3.13 472 Reference
Modified BODE index
 7–10 139 2.38 (1.86–3.04) < 0.001
 1–6 469 Reference
Cigarette smoking, pack-years
 90–280 126 1.15 (0.87–1. 51) 0.34
 0.15–3.13 481 Reference
Nuclear perfusion scan
 Duration since stopped smoking, yr
  ⩽ 2 127 1.14 (0.86–1. 51) 0.36
  3–42 480 Reference

Definition of abbreviations: BMI = body mass index; CI = confidence interval; CPET = cardiopulmonary exercise testing; DlCO = diffusing capacity for carbon monoxide; IC/TLC = ratio of inspiratory capacity to total lung capacity; Pemax = maximum expiratory pressure; Pimax = maximum inspiratory pressure; QWB = Quality of Well-Being scale; 6MWT = 6-min-walk test; SGRQ = St. George's Respiratory Questionnaire; UCSD SOBQ = University of California, San Diego Shortness of Breath Questionnaire.

*

Low exercise is defined as a maximal workload at or below the sex-specific 40th percentile (25 W for females and 40 W for males); high exercise is defined as a workload above this threshold.

At the −950 Hounsfield unit cutoff.