Table 1.
Clinical and physiological characteristics of each group
Persistent Chronic Bronchitis– (n = 1,342) | Resolved Chronic Bronchitis (n = 162) | New Chronic Bronchitis (n = 136) | Persistent Chronic Bronchitis+ (n = 135) | P Value | |
---|---|---|---|---|---|
Age at current visit, yr | 66.23 ± 8.93 | 65.37 ± 8.77 | 65.73 ± 9.46 | 65.42 ± 8.46 | 0.500 |
Race, % white | 70.6* | 73.5 | 72.8 | 78.5 | 0.235 |
Sex, % male | 49.1*†‡ | 59.9 | 57.4 | 58.5 | 0.007 |
BMI, kg/m2 | 28.31 ± 6.11 | 29.04 ± 6.04 | 28.85 ± 5.84 | 28.57 ± 6.76 | 0.423 |
Smoking status | |||||
Current smoking (phase 2), % | 31.2*‡ | 37.1* | 45.6 | 53.4 | <0.0001 |
Persistent ex-smokers, % | 58.6*†‡ | 39.5 | 45.6 | 37.8 | <0.0001 |
Resumed smokers, % | 2.3‡ | 1.9‡ | 6.6* | 1.5 | <0.0001 |
Quitters, % | 10.1† | 23.5*‡ | 8.8 | 8.9 | <0.0001 |
Persistent current smokers, % | 28.9*†‡ | 35.2* | 39.0* | 51.9 | <0.0001 |
Smoking history, pack-years | 43.34 ± 22.72*‡ | 47.84 ± 21.48* | 51.42 ± 31.25 | 57.17 ± 28.75 | <0.0001 |
FEV1% pred | 79.91 ± 26.07*†‡ | 67.57 ± 25.72 | 66.16 ± 27.57 | 63.20 ± 25.03 | <0.0001 |
FVC% pred | 89.74 ± 18.12*†‡ | 83.08 ± 17.78 | 81.96 ± 19.43 | 83.18 ± 17.44 | <0.0001 |
FEV1/FVC | 66.40 ± 15.76*†‡ | 60.39 ± 16.95 | 59.38 ± 17.37 | 56.45 ± 16.82 | <0.0001 |
6-Min walk distance, ft | 1,339.8 ± 421.7*†‡ | 1,191.4 ± 411.32 | 1,127.3 ± 475.35 | 1,164.8 ± 414.05 | <0.0001 |
MMRC dyspnea score | 0 (0–2)*†‡ | 2 (0–3)* | 2 (0–3) | 2 (1–3) | <0.0001 |
SGRQ score | 12.5 (3.5–30.5)*†‡ | 30.3 (16.2–47.5)*‡ | 38.3 (21.2–53.2) | 45.3 (29.6–61.0) | <0.0001 |
CAT score | 8 (4–15)*†‡ | 16 (8–22)*‡ | 18 (12.5–24) | 20 (14–26) | <0.0001 |
HADS anxiety score | 4 (2–6)*† | 5 (2–8) | 4 (2–8) | 5 (2–7) | <0.0001 |
HADS depression score | 4 (2–6)*†‡ | 3 (2–6) | 4 (2–7) | 4 (2–8) | <0.0001 |
BODE Index | 0 (0–2)*†‡ | 1 (0–3) | 2 (0–3) | 2 (1–4) | <0.0001 |
Exacerbation frequency, No./patient/yr | 0 (0–0)*†‡ | 0 (0–1) | 0 (0–0)* | 0 (0–1) | <0.0001 |
History of severe exac, % | 7.2*†‡ | 14.2 | 14.0 | 17.0 | <0.0001 |
History of asthma, % | 16.0*†‡ | 27.2 | 18.4 | 22.2 | <0.0001 |
Gastroesophageal reflux, % | 28.6*† | 36.4 | 35.3 | 38.5 | 0.015 |
Noct awake cough, % | 12.4*†‡ | 19.8*‡ | 43.4* | 54.8 | <0.0001 |
Noct awake SOB, % | 9.8*†‡ | 20.4*‡ | 29.4 | 37.8 | <0.0001 |
Longitudinal changes, phase 1 – phase 2 | |||||
Absolute change FEV1, ml | −208.72 ± 262.38 | −227.46 ± 302.32 | −266.96 ± 334.22 | −236.41 ± 324.02 | 0.090 |
Percent change FEV1% pred | −2.15 ± 9.85 | −3.84 ± 10.67 | −4.55 ± 11.74 | −3.53 ± 10.46 | 0.011 |
FEV1 annual decline, ml/yr | −39.20 ± 49.42 | −42.90 ± 57.80 | −49.93 ± 64.80 | −44.60 ± 61.58 | 0.098 |
Change in MMRC score | 0.03 ± 1.14‡ | −0.09 ± 1.35‡ | 0.51 ± 1.45* | 0.12 ± 1.20 | <0.0001 |
Change in SGRQ | 0.17 ± 13.93†‡ | −4.26 ± 17.93*‡ | 9.37 ± 17.77* | 2.06 ± 16.28 | <0.0001 |
Change in 6-min walk distance, ft | −100.56 ± 353.76 | −126.82 ± 358.46 | −183.18 ± 386.23 | −115.57 ± 359.50 | 0.007 |
Definition of abbreviations: BMI = body mass index; BODE = body mass index, airflow obstruction, dyspnea, and exercise capacity; CAT = COPD Assessment Test; exac = exacerbation; FEV1% pred = FEV1 expressed as a percentage of the predicted value; FVC% pred = FVC expressed as a percentage of the predicted value; HADS = Hospital Anxiety and Depression Scale; MMRC = Modified Medical Research Council; Noct = nocturnal; persistent chronic bronchitis+ = subjects positive at phase 1/positive at phase 2 for chronic bronchitis; persistent chronic bronchitis– = subjects negative at phase 1/negative at phase 2 for chronic bronchitis; SGRQ = St. George’s Respiratory Questionnaire; SOB = shortness of breath.
Values are expressed as means ± SD or as medians (interquartile range).
P < 0.05 compared with resolved chronic bronchitis.
P < 0.05 compared with new chronic bronchitis.
P < 0.05 compared with persistent chronic bronchitis+.