Table 3.
Baseline |
6 mo |
12 mo |
24 mo |
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---|---|---|---|---|---|---|---|---|---|---|---|---|
Type of Limitation | LVRS, % | Medical, % | p Value | LVRS, % | Medical, % | p Value | LVRS, % | Medical, % | p Value | LVRS, % | Medical, % | p Value |
All patients | ||||||||||||
Ventilatory and cardiovascular | 11.2 | 12.1 | 8.3 | 9.6 | 11.9 | 8.5 | 10.5 | 12.1 | ||||
Ventilatory only | 67.9 | 62.3 | 49.5 | 71.9 | 54.2 | 67.8 | 60.3 | 64.8 | ||||
Cardiovascular only | 2.2 | 1.5 | 7.9 | 3.0 | 6.5 | 3.5 | 5.4 | 1.0 | ||||
Neither | 18.8 | 24.1 | 34.3 | 15.6 | 27.4 | 20.1 | 23.8 | 22.1 | ||||
Total | 100 | 100 | 0.48 | 100 | 100 | 0.001 | 100 | 100 | 0.03 | 100 | 100 | 0.07 |
Patients, No. | 277 | 199 | 277 | 199 | 277 | 199 | 277 | 199 | ||||
MVV, L/min BTPS | ||||||||||||
Mean | 32.0 | 34.5 | 0.01 | 40.4 | 33.9 | < 0.001 | 38.0 | 33.7 | 0.001 | 35.1 | 33.1 | 0.12 |
SD | 10.2 | 11.2 | 14.1 | 11.5 | 13.6 | 12.8 | 13.0 | 13.9 | ||||
Patients with upper lobe-predominant emphysema | ||||||||||||
Ventilatory and cardiovascular | 12.0 | 10.4 | 6.8 | 8.8 | 11.5 | 8.8 | 10.5 | 13.6 | ||||
Ventilatory only | 67.0 | 67.2 | 48.2 | 73.6 | 50.8 | 69.6 | 57.1 | 65.6 | ||||
Cardiovascular only | 1.6 | 0.8 | 7.9 | 2.4 | 8.4 | 1.6 | 7.9 | 0.8 | ||||
Neither | 19.4 | 21.6 | 37.2 | 15.2 | 29.3 | 20.0 | 24.6 | 20.0 | ||||
Total | 100 | 100 | 0.87 | 100 | 100 | 0.001 | 100 | 100 | 0.03 | 100 | 100 | 0.02 |
Patients, No. | 191 | 125 | 191 | 125 | 191 | 125 | 191 | 125 | ||||
MVV, L/min BTPS | ||||||||||||
Mean | 31.8 | 34.0 | 0.08 | 41.4 | 33.6 | < 0.001 | 39.2 | 33.6 | 0.001 | 36.5 | 33.3 | 0.06 |
SD | 10.2 | 11.3 | 14.8 | 12.1 | 14.2 | 13.6 | 13.6 | 15.3 | ||||
Patients with non—upper-lobe-predominant emphysema | ||||||||||||
Ventilatory and cardiovascular | 9.3 | 14.9 | 11.6 | 10.8 | 12.7 | 8.1 | 10.5 | 9.5 | ||||
Ventilatory only | 69.8 | 54.1 | 52.3 | 68.9 | 61.6 | 64.9 | 67.4 | 63.5 | ||||
Cardiovascular only | 3.5 | 2.7 | 8.1 | 4.1 | 2.3 | 6.8 | 0 | 1.4 | ||||
Neither | 17.4 | 28.4 | 27.9 | 16.2 | 23.3 | 20.3 | 22.1 | 25.7 | ||||
Total | 100 | 100 | 0.19 | 100 | 100 | 0.15 | 100 | 100 | 0.42 | 100 | 100 | 0.68 |
Patients, No. | 86 | 74 | 86 | 74 | 86 | 74 | 86 | 74 | ||||
MVV, L/min BTPS | ||||||||||||
Mean | 32.4 | 35.3 | 0.09 | 38.2 | 34.4 | 0.03 | 35.4 | 34.0 | 0.44 | 31.8 | 32.7 | 0.61 |
SD | 10.2 | 11.2 | 12.0 | 10.5 | 11.9 | 11.6 | 11.0 | 11.3 |
*One patient in the medical group did not have a chest CT scan for classification of the pattern of emphysema. The p value for LVRS and medical groups in the distribution of the type of limitation was determined by χ2 test. The p values for the LVRS and medical groups in mean MVV was determined by t test. BTPS = body temperature and pressure saturated.