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. 2018 Feb 19;5(1):e000267. doi: 10.1136/bmjresp-2017-000267

Table 2.

Disease severity and management measures, by COPD subtypes

Characteristics Study population Symptom-based COPD % (95% CI) Doctor-diagnosed COPD % (95% CI) Symptom-based or doctor-diagnosed COPD % (95% CI)
Participants 1586 612 1193 1586
Lung function (mean±SD)
 FEV1 (L) 1.8±0.1 1.9±0.2 1.7±0.1 1.8±0.1
 FVC (L) 2.6±0.2 2.7±0.2 2.5±0.2 2.6±0.2
 FEV1/FVC (%) 67.1±2.5 68.3±2.4 65.6±2.6 67.1±2.5
CAT score
 <10 882 50.1 (48.7 to 51.5) 54.2 (53.2 to 55.2) 55.6 (54.8 to 56.5)
 10–20 514 32.9 (31.6 to 34.2) 33.0 (32.0 to 33.9) 32.4 (31.6 to 33.2)
 >20 190 17.0 (15.9 to 18.1) 12.8 (12.2 to 13.5) 12.0 (11.4 to 12.5)
Awareness of condition and treatment
 Well informed 295 13.8 (12.9 to 14.8) 20.7 (19.9 to 21.5) 18.6 (17.9 to 19.3)
 Inadequately/poorly informed 1114 72.2 (71.0 to 73.5) 69.8 (68.9 to 70.7) 70.2 (69.5 to 71.0)
 Do not know 177 13.9 (13.0 to 14.9) 9.4 (8.9 to 10.0) 11.2 (10.6 to 11.7)
Self-reported severity of chronic lung disease
 Mild 713 44.0 (42.6 to 45.3) 41.1 (40.1 to 42.1) 45.0 (44.1 to 45.8)
 Moderate 578 35.0 (33.7 to 36.4) 38.1 (37.1 to 39.1) 36.4 (35.6 to 37.3)
 Severe 295 21.0 (19.8 to 22.1) 20.8 (20.0 to 21.6) 18.6 (17.9 to 19.3)
Vaccination (last 12 months)
 No 1527 95.8 (95.3 to 96.4) 96.0 (95.6 to 96.4) 96.3 (96.0 to 96.6)
 Yes 59 4.2 (3.6 to 4.7) 4.0 (3.6 to 4.4) 3.7 (3.4 to 4.0)
 Influenza vaccination 54 3.5 (3.0 to 4.0) 3.8 (3.4 to 4.2) 3.4 (3.1 to 3.7)
 Pneumococcal vaccination 14 1.4 (1.1 to 1.8) 0.9 (0.7 to 1.1) 0.9 (0.7 to 1.0)
Healthcare professional consultations (last 12 months)
 No 721 56.7 (55.3 to 58.1) 37.0 (36.0 to 37.9) 45.5 (44.6 to 46.3)
 Yes 865 43.3 (41.9 to 44.7) 63.0 (62.1 to 64.0) 54.5 (53.7 to 55.4)
 General physician 536 27.9 (26.6 to 29.1) 38.9 (38.0 to 39.9) 33.8 (33.0 to 34.6)
 Respiratory specialist 305 13.7 (12.7 to 14.7) 23.2 (22.4 to 24.1) 19.2 (18.6 to 19.9)
 Cardiologist/heart specialist 74 3.9 (3.3 to 4.4) 5.3 (4.9 to 5.8) 4.7 (4.3 to 5.0)
 Traditional Chinese medicine doctor 132 7.2 (6.5 to 7.9) 9.7 (9.1 to 10.3) 8.3 (7.9 to 8.8)
 Other medical professional 104 5.7 (5.0 to 6.3) 7.3 (6.8 to 7.8) 6.6 (6.1 to 7.0)
Hospitalisation for COPD (last 12 months)
 None 1333 87.4 (86.5 to 88.3) 81.3 (80.5 to 82.1) 84.7 (84.1 to 85.4)
 One 182 8.6 (7.8 to 9.4) 14.2 (13.5 to 14.9) 11.6 (11.0 to 12.1)
 ≥Two 58 3.9 (3.4 to 4.5) 4.5 (4.1 to 5.0) 3.7 (3.4 to 4.0)
Oxygen therapy at home (last 12 months)
 No 1523 96.7 (96.1 to 97.2) 96.5 (96.1 to 96.9) 97.2 (96.9 to 97.5)
 Yes 44 3.3 (2.8 to 3.9) 3.5 (3.1 to 3.9) 2.8 (2.5 to 3.1)
Medication for COPD exacerbation (last 12 months)
 No 1072 71.8 (70.6 to 73.1) 62.4 (61.5 to 63.4) 67.6 (66.8 to 68.4)
 Yes 514 28.2 (26.9 to 29.4) 37.6 (36.6 to 38.5) 32.4 (31.6 to 33.2)
 Antibiotics 483 26.5 (25.3 to 27.7) 35.5 (34.6 to 36.4) 30.5 (29.7 to 31.2)
 Oral steroids 107 6.1 (5.4 to 6.8) 7.9 (7.4 to 8.4) 6.7 (6.3 to 7.2)
 Injectable steroids 70 3.0 (2.5 to 3.4) 5.4 (5.0 to 5.9) 4.4 (4.1 to 4.8)
  Number of COPD exacerbations after medication
 None 1185 77.4 (76.3 to 78.6) 70.4 (69.5 to 71.3) 74.7 (74.0 to 75.4)
 One 202 8.4 (7.6 to 9.2) 15.5 (14.8 to 16.2) 12.7 (12.2 to 13.3)
 ≥Two 199 14.2 (13.2 to 15.2) 14.1 (13.4 to 14.8) 12.5 (12.0 to 13.1)
Prescribed medication (last 7 days)
 No 1447 90.8 (89.9 to 91.6) 89.8 (89.2 to 90.4) 91.2 (90.7 to 91.7)
 Yes 139 9.2 (8.4 to 10.1) 10.2 (9.6 to 10.8) 8.8 (8.3 to 9.3)
 Short-acting bronchodilators 25 2.1 (1.7 to 2.5) 2.0 (1.7 to 2.2) 1.6 (1.4 to 1.8)
 Long-acting bronchodilators 16 1.5 (1.2 to 1.9) 1.2 (1.0 to 1.4) 1.0 (0.8 to 1.2)
 Oral bronchodilators 19 1.0 (0.7 to 1.3) 1.4 (1.2 to 1.7) 1.2 (1.0 to 1.4)
 Any inhalers 11 0.5 (0.3 to 0.7) 0.8 (0.6 to 0.9) 0.7 (0.6 to 0.8)
 Traditional Chinese medicine 33 2.1 (1.6 to 2.5) 2.6 (2.3 to 2.9) 2.1 (1.8 to 2.3)
 Other treatments 94 6.4 (5.7 to 7.1) 6.7 (6.2 to 7.2) 5.9 (5.5 to 6.3)

*All data standardised for region, age group and gender as appropriate. Short-acting bronchodilators (short-acting beta2-agonist/short-acting muscarinic antagonist); long-acting bronchodilators (long-acting beta2-agonist/long-acting muscarinic antagonist).

CAT, COPD Assessment Test; COPD, chronic obstructive pulmonary disease; FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity.