Table 1.
Characteristic | Metoprolol (N = 268) | Placebo (N = 264) |
---|---|---|
Age — yr | 65.2±7.6 | 64.8±7.9 |
Race — no. (%)† | ||
White | 178 (66.4) | 194 (73.5) |
Black | 83 (31.0) | 60 (22.7) |
Other | 7 (2.6) | 10 (3.8) |
Female sex — no. (%) | 124 (46.3) | 123 (46.6) |
FEV1 after bronchodilation — % of predicted value | 41.3±16.3 | 40.8±16.2 |
FEV1:FVC ratio — % | 44.2±11.7 | 45.2±21.6 |
Smoking history | ||
No. of pack-yr | 50.7±28.7 | 49.5±29.6 |
Current smoker — no. (%) | 95 (35.4) | 71 (26.9) |
COPD medication — no. (%) | ||
Inhaled glucocorticoid, LABA, and LAMA | 154 (57.5) | 160 (60.6) |
Inhaled glucocorticoid and LABA | 45 (16.8) | 51 (19.3) |
LAMA only | 20 (7.5) | 17 (6.4) |
LABA and LAMA | 11 (4.1) | 13 (4.9) |
Inhaled glucocorticoid and LAMA | 8 (3.0) | 6 (2.3) |
Inhaled glucocorticoid only | 5 (1.9) | 2 (0.8) |
Other | 25 (9.3) | 15 (5.7) |
Heart rate — beats/min | 85.5±10.8 | 83.6±11.7 |
Blood pressure — mm Hg | ||
Systolic | 128.4±16.5 | 130.6±15.9 |
Diastolic | 77.2±9.2 | 76.8±9.1 |
No. of courses of systemic glucocorticoids or antibiotic use in previous 12 mo | 1.9±1.5 | 1.9±1.7 |
No. of hospitalizations in previous 12 mo | 0.7±1.0 | 0.5±1.2 |
Score on COPD Assessment Test‡ | 20.1±7.3 | 21.3±7.3 |
Score of >1 on modified Medical Research Council scale — no. (%)§ | 164 (61.2) | 169 (64.0) |
Enrollment criteria — no. (%) | ||
Systemic glucocorticoid or antibiotic use in previous 12 mo | 246 (91.8) | 228 (86.4) |
COPD exacerbation leading to emergency department visit or hospitalization in previous 12 mo | 168 (62.7) | 133 (50.4) |
Prescription or use of supplemental oxygen in previous 12 mo | 106 (39.6) | 106 (40.2) |
Plus-minus values are means ±SD. Percentages may not total 100 because of rounding. COPD denotes chronic obstructive pulmonary disease, FEV1 forced expiratory volume in 1 second, FVC forced vital capacity, LABA long-acting beta agonist, and LAMA long-acting muscarinic antagonist.
Race was reported by the patients.
Scores on the COPD Assessment Test range from 0 to 40, with lower scores indicating better functioning and with a minimal clinically important difference of 2 points.
Scores for dyspnea on the modified Medical Research Council scale range from 0 to 4, with higher scores indicating more severe breathlessness.