Table 1.
Description of participants with preserved spirometry identified as high symptom burden by two different methods (n = 880)
Identified by CAT ≥10 points (n = 456) | Identified by Respiratory Questions of CAT ≥7 points (n = 403) | P Value | |
---|---|---|---|
Demographics | |||
Age, yr, mean (SD) | 59.4 (9.9) | 59.1 (9.7) | 0.74 |
Female sex, % | 55.7 | 56.6 | 0.78 |
African American race, % | 33.8 | 33.5 | 0.92 |
BMI, kg/m2, mean (SD) | 29.8 (5.4) | 29.8 (5.4) | 1 |
Smoking history | |||
Pack-years, mean (SD) | 46.1 (26.4) | 45.8 (26.6) | 0.59 |
Currently smoking, % | 57.2 | 58.3 | 0.74 |
Lung function | |||
FEV1, L, mean (SD) | 2.61 (0.70) | 2.61 (0.70) | 1 |
FEV1, % predicted, mean (SD) | 92.0 (14.7) | 92.2 (14.0) | 0.38 |
Comorbid conditions, % | |||
Obesity (BMI ≥30 kg/m2) | 48.7 | 48.1 | 0.85 |
Asthma | 27.6 | 29.3 | 0.58 |
Diabetes | 19.3 | 19.1 | 0.94 |
Coronary artery disease | 5.9 | 5.7 | 0.99 |
Markers of respiratory impact, % | |||
Any respiratory event prior to enrollment | 22.8 | 24.6 | 0.53 |
Chronic bronchitis symptoms* | 30.9 | 35.0 | 0.20 |
mMRC dyspnea score ≥2† | 25.9 | 26.8 | 0.76 |
Short distance during 6-min walk test‡ | 22.4 | 23.1 | 0.81 |
Impaired quality of life measured by SGRQ total score§ | 66.9 | 70.5 | 0.25 |
Any of the above | 80.7 | 83.6 | 0.26 |
CAT score, mean (SD) | 17.9 (6.4) | 18.3 (6.7) | 0.20 |
Definition of abbreviations: BMI = body mass index; CAT = COPD Assessment Test; mMRC = modified Medical Research Council dyspnea scale; SGRQ = St. George’s Respiratory Questionnaire.
P value represents comparison of means or proportions among those identified by each strategy.
Chronic bronchitis was defined as cough and phlegm production for at least 3 consecutive months per year for at least 2 years.
Dyspnea was defined as mMRC score greater than or equal to 2.
Short walking distance was defined as distance walked in 6 minutes less than 250 m.
Impaired quality of life was defined as an SGRQ total score greater than 25.