Emphysema predicts hospitalisation and incident airflow obstruction among older smokers: a prospective cohort study.

Autor: David A McAllister, Firas S Ahmed, John H M Austin, Claudia I Henschke, Brad M Keller, Adina Lemeshow, Anthony P Reeves, Sonia Mesia-Vela, G D N Pearson, Maria C Shiau, Joseph E Schwartz, David F Yankelevitz, R Graham Barr
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: PLoS ONE, Vol 9, Iss 4, p e93221 (2014)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0093221
Popis: Emphysema on CT is common in older smokers. We hypothesised that emphysema on CT predicts acute episodes of care for chronic lower respiratory disease among older smokers.Participants in a lung cancer screening study age ≥ 60 years were recruited into a prospective cohort study in 2001-02. Two radiologists independently visually assessed the severity of emphysema as absent, mild, moderate or severe. Percent emphysema was defined as the proportion of voxels ≤ -910 Hounsfield Units. Participants completed a median of 5 visits over a median of 6 years of follow-up. The primary outcome was hospitalization, emergency room or urgent office visit for chronic lower respiratory disease. Spirometry was performed following ATS/ERS guidelines. Airflow obstruction was defined as FEV1/FVC ratio
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