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. 2020 Dec 23;38(2):1168–1184. doi: 10.1007/s12325-020-01573-x

Table 5.

Characteristics of patients with or without ACO at registration among those who had the data necessary for ACO diagnosis

Patients with the data necessary for ACO diagnosis p value
All (n = 396) ACO (n = 101) Non-ACO (n = 295) (ACO vs non-ACO)
Sex, male, n (%) 353 (89.1) 90 (89.1) 263 (89.2) 0.990
Age, years, mean (SD) 73.2 (8.0) 71.5 (9.6) 73.8 (7.3) 0.025
BMI, kg/m2, mean (SD) 23.0 (3.4) 23.0 (3.1) 23.0 (3.5) 0.869
Smoking status, n (%)
 Current smoker 42 (10.6) 6 (5.9) 36 (12.2) 0.108
 Never smoker 4 (1.0) 2 (2.0) 2 (0.7)
 Ex-smoker 350 (88.4) 93 (92.1) 257 (87.1)
Smoking history (pack-years) n = 392 n = 99 n = 293
 Mean (SD) 55.1 (35.8) 57.7 (40.7) 54.2 (34.1) 0.441
Duration of COPD, years n = 390 n = 99 n = 291
 Mean (SD) 5.3 (5.4) 5.3 (4.6) 5.3 (5.7) 0.997
GOLD stage, n (%)
 I 125 (31.6) 30 (29.7) 95 (32.2) 0.207
 II 194 (49.0) 54 (53.5) 140 (47.5)
 III 59 (14.9) 16 (15.8) 43 (14.6)
 IV 18 (4.5) 1 (1.0) 17 (5.8)
Complication/comorbidity, n (%)
 Asthma (based on physician’s diagnosis) 177 (44.7) 68 (67.3) 109 (36.9) < 0.001
  Age at onset < 40 years n = 175 n = 67 n = 108
24 (13.7) 23 (34.3) 1 (0.9) < 0.001
  Age at onset ≥ 40 years n = 175 n = 67 n = 108
151 (86.3) 44 (65.7) 107 (99.1) < 0.001
 Allergic rhinitis 57 (14.4) 37 (36.6) 20 (6.8) < 0.001
 Heart failure 45 (11.4) 3 (3.0) 42 (14.2) 0.002
 Diabetes 58 (14.6) 15 (14.9) 43 (14.6) 0.946
Respiratory medication at baseline, n (%) n = 396 n = 98 n = 289
 ICS (monotherapy or any combinations) 180 (45.5) 75 (76.5) 105 (36.3) < 0.001
 ICS monotherapy 4 (1.0) 3 (3.1) 1 (0.3) 0.052
 LAMA monotherapy 44 (11.1) 10 (10.2) 34 (11.8) 0.674
 LABA monotherapy 20 (5.1) 1 (1.0) 19 (6.6) 0.032
 LAMA and LABAa 138 (34.8) 11 (11.2) 127 (43.9) < 0.001
 ICS and LABAa 65 (16.4) 22 (22.4) 43 (14.9) 0.083
 ICS and LAMA 4 (1.0) 2 (2.0) 2 (0.7) 0.267
 ICS, LAMA, and LABAa 107 (27.0) 48 (49.0) 59 (20.4) < 0.001
Symptoms based on interview
 Presence of variable symptoms, n (%) 96 (24.2) 67 (66.3) 29 (9.8) < 0.001
 Presence of paroxysmal symptoms, n (%) n = 387 n = 95 n = 292 < 0.001
90 (23.3) 57 (60.0) 33 (11.3)
Questionnaire
 CAT n = 395 n = 101 n = 294
  Mean (SD) 10.3 (7.0) 10.7 (7.8) 10.1 (6.7) 0.492
 mMRC n = 395 n = 101 n = 294
  Mean (SD) 1.0 (1.0) 1.0 (1.0) 1.1 (1.0) 0.523
 ACQ n = 394 n = 101 n = 293
  Mean (SD) 0.5 (0.8) 0.9 (1.0) 0.4 (0.6) < 0.001

ACO asthma-COPD overlap, ACQ asthma control questionnaire, BMI body mass index, CAT COPD assessment test, COPD chronic obstructive pulmonary disease, GOLD Global Initiative for Chronic Obstructive Lung Disease, ICS inhaled corticosteroids, LABA long-acting β2-agonist, LAMA long-acting muscarinic antagonist, mMRC modified Medical Research Council questionnaire, SD standard deviation

aIncluding any combinations of separate and combined inhalers