مورد إلكتروني

Comparison of clinical features between patients with acute exacerbation of idiopathic interstitial pneumonia and collagen vascular disease-associated interstitial pneumonia

التفاصيل البيبلوغرافية
العنوان: Comparison of clinical features between patients with acute exacerbation of idiopathic interstitial pneumonia and collagen vascular disease-associated interstitial pneumonia
بيانات النشر: Nagoya University Graduate School of Medicine, School of Medicine 2023-08
تفاصيل مُضافة: Kata, Yuki
Hara, Yu
Murohashi, Kota
Saigusa, Yusuke
Nagasawa, Ryo
Tagami, Yoichi
Fujii, Hiroaki
Aoki, Ayako
Nishikawa, Yurika
Tanaka, Katsushi
Watanabe, Keisuke
Horita, Nobuyuki
Kobayashi, Nobuaki
Yamamoto, Masaki
Kudo, Makoto
Kaneko, Takeshi
نوع الوثيقة: Electronic Resource
مستخلص: Acute exacerbation (AE) of interstitial pneumonia (IP) shows poor prognosis, due to the typical histological pattern of diffuse alveolar damage superimposed upon lung fibrosis. The previous reports comparing clinical features between AE of idiopathic interstitial pneumonias (IIPs) and those of IPs with known etiology are limited. We retrospectively compared clinical parameters including age, sex, Charlson Comorbidity Index score (CCIS), blood biomarkers at diagnosis of AE, treatment, and 3-month mortality between patients with AE of IIPs and collagen vascular disease-associated interstitial pneumonia (CVD-IP). We assessed 85 patients, comprising 66 patients with AE of IIPs (78%) and 19 patients with AE of CVD-IP (22%). The least absolute shrinkage and selection operator regression selected CCIS (hazard ratio, 1.281; 95% confidence interval, 1.055–1.556; P = 0.012) and log serum lactate dehydrogenase (LDH) (hazard ratio, 6.267; 95% confidence interval, 2.172–18.085; P < 0.001) as significant predictors of 3-month mortality among these patients. Also, the adjusted survival curves using sex, CCIS, and serum LDH showed no significant differences between these two groups. In conclusion, among AE patients, CCIS and serum LDH level may be more important prognostic factors for 3-month mortality rather than two classification of IP subtypes: IIPs and CVD-IP.
مصطلحات الفهرس: acute exacerbation, Charlson Comorbidity Index score, collagen vascular disease-associated interstitial pneumonia, idiopathic interstitial pneumonia, lactate dehydrogenase, Departmental Bulletin Paper, VoR
URL: https://doi.org/10.18999/nagjms.85.3.602Test
http://hdl.handle.net/2237/0002007137Test
https://nagoya.repo.nii.ac.jp/records/2007137Test
https://nagoya.repo.nii.ac.jp/record/2007137/files/16_Kata.pdfTest
https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/853.htmlTest
https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/853.htmlTest
الإتاحة: Open access content. Open access content
open access
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
ملاحظة: application/pdf
English
أرقام أخرى: JPNII oai:irdb.nii.ac.jp:01152:0005896219
0027-7622
2186-3326
Nagoya Journal of Medical Science, 85(3), 602-611
1409766944
المصدر المساهم: NATIONAL INST OF INFO
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رقم الانضمام: edsoai.on1409766944
قاعدة البيانات: OAIster