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.