TABLE 4.
CLINICAL CHARACTERISTICS OF RESPONDERS AND NONRESPONDERS TO GRANULOCYTE/MACROPHAGE–COLONY STIMULATING FACTOR INHALATION
| Responders (n = 24) |
Nonresponders (n = 11) |
||||||
|---|---|---|---|---|---|---|---|
| Characteristic | n | % | Median (I.Q. range)* or Mean (SD) | n | % | Median (I.Q. range) or Mean (SD) | P Value |
| Age, y | 24 | 56 (45–67.5) | 11 | 53 (51–55.5) | 0.35† | ||
| Sex | 0.21‡ | ||||||
| Female | 12 | 50 | 3 | 36 | |||
| Male | 12 | 50 | 8 | 64 | |||
| Duration of symptoms, mo | 24 | 22 (15.5–64.5) | 11 | 15 (7.5–59.5) | 0.36† | ||
| Symptoms | |||||||
| Dyspnea | 23 | 96 | 11 | 100 | 0.38‡ | ||
| Cough | 10 | 42 | 7 | 64 | 0.19‡ | ||
| Sputum | 5 | 21 | 7 | 64 | 0.011‡ | ||
| Smoking status | 0.79‡ | ||||||
| Current smoker | 6 | 25 | 4 | 27 | |||
| Ex-smoker | 5 | 25 | 2 | 9 | |||
| Never smoker | 13 | 50 | 5 | 55 | |||
| Dust exposure | 22 | 11 | 0.79‡ | ||||
| Yes | 7 | 32 | 3 | 27 | |||
| No | 15 | 68 | 8 | 73 | |||
| Arterial blood gas analysis | |||||||
| PaCO2, mm Hg§ | 24 | 37.5 ± 0.6 | 11 | 41.0 ± 1.4 | 0.010‖ | ||
| PaO2, mm Hg§ | 24 | 61.5 ± 1.9 | 11 | 60.4 ± 2.7 | 0.75‖ | ||
| A–aDO2, mm Hg¶ | 24 | 43.2 ± 2.2 | 11 | 40.2 ± 2.2 | 0.40‖ | ||
| GM-CSF autoantibody, μg/ml | 24 | 20.0 (8.2–32.2) | 11 | 23.7 (21.2–32.0) | 0.29† | ||
| Previous lung lavage (>6 mo before study) | 0.34‡ | ||||||
| Yes | 9 | 38 | 2 | 18 | |||
| No | 15 | 63 | 9 | 82 | |||
Definition of abbreviations: A–aDO2 = alveolar-arterial oxygen difference; GM-CSF = granulocyte/macrophage–colony stimulating factor; PB = barometric pressure measured by local observatories; PH2O = partial pressure of water vapor in inspired air (assumed to be 47 mm Hg); R = respiratory quotient (assumed to be 0.8).
Thirty-five patients completed both the high-dose period and low-dose period of GM-CSF inhalation therapy.
Interquartile (I.Q.) range is the range from the 25th to the 75th percentiles of the distribution.
Calculated using the Wilcoxon rank sum test.
Calculated using the χ2 test.
Measured with patient in a supine position and breathing room air.
Calculated using Student t test.
Calculated using the following equation: A–aDO2 = (PB − PH2O) × FiO2 − PaCO2/R + {PaCO2 × FiO2 × (1 − R)/R} − PaO2.