دورية أكاديمية
Association of Acute Respiratory Disease Events with Quantitative Interstitial Abnormality Progression at CT in Individuals with a History of Smoking.
العنوان: | Association of Acute Respiratory Disease Events with Quantitative Interstitial Abnormality Progression at CT in Individuals with a History of Smoking. |
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المؤلفون: | Choi B; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.)., Díaz AA; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.)., San José Estépar R; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.)., Enzer N; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.)., Castro V; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.)., Han MK; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.)., Washko GR; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.)., San José Estépar R; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.)., Ash SY; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.). |
مؤلفون مشاركون: | COPDGene Study; From the Division of Pulmonary and Critical Care Medicine, Department of Medicine (B.C., A.A.D., G.R.W.), Applied Chest Imaging Laboratory (B.C., A.A.D., Ruben San José Estépar, N.E., G.R.W., Raúl San José Estépar), and Department of Radiology (Ruben San José Estépar, Raúl San José Estépar), Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115; Boston University School of Medicine, Boston, Mass (V.C.); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich (M.K.H.); Department of Critical Care Medicine, South Shore Health, South Weymouth, Mass (S.Y.A.); and Tufts University School of Medicine, Boston, Mass (S.Y.A.). |
المصدر: | Radiology [Radiology] 2024 Apr; Vol. 311 (1), pp. e231801. |
نوع المنشور: | Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural |
اللغة: | English |
بيانات الدورية: | Publisher: Radiological Society of North America Country of Publication: United States NLM ID: 0401260 Publication Model: Print Cited Medium: Internet ISSN: 1527-1315 (Electronic) Linking ISSN: 00338419 NLM ISO Abbreviation: Radiology Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Easton, PA : Radiological Society of North America Original Publication: [Illinois?] : Radiological Society of North America, [1923]- |
مواضيع طبية MeSH: | Tomography, X-Ray Computed*/methods , Disease Progression* , Smoking*/adverse effects, Humans ; Female ; Male ; Prospective Studies ; Middle Aged ; Acute Disease ; Aged ; Lung Diseases, Interstitial/diagnostic imaging ; Lung/diagnostic imaging |
مستخلص: | Background Acute respiratory disease (ARD) events are often thought to be airway-disease related, but some may be related to quantitative interstitial abnormalities (QIAs), which are subtle parenchymal abnormalities on CT scans associated with morbidity and mortality in individuals with a smoking history. Purpose To determine whether QIA progression at CT is associated with ARD and severe ARD events in individuals with a history of smoking. Materials and Methods This secondary analysis of a prospective study included individuals with a 10 pack-years or greater smoking history recruited from multiple centers between November 2007 and July 2017. QIA progression was assessed between baseline (visit 1) and 5-year follow-up (visit 2) chest CT scans. Episodes of ARD were defined as increased cough or dyspnea lasting 48 hours and requiring antibiotics or corticosteroids, whereas severe ARD episodes were those requiring an emergency room visit or hospitalization. Episodes were recorded via questionnaires completed every 3 to 6 months. Multivariable logistic regression and zero-inflated negative binomial regression models adjusted for comorbidities (eg, emphysema, small airway disease) were used to assess the association between QIA progression and episodes between visits 1 and 2 (intercurrent) and after visit 2 (subsequent). Results A total of 3972 participants (mean age at baseline, 60.7 years ± 8.6 [SD]; 2120 [53.4%] women) were included. Annual percentage QIA progression was associated with increased odds of one or more intercurrent (odds ratio [OR] = 1.29 [95% CI: 1.06, 1.56]; P = .01) and subsequent (OR = 1.26 [95% CI: 1.05, 1.52]; P = .02) severe ARD events. Participants in the highest quartile of QIA progression (≥1.2%) had more frequent intercurrent ARD (incidence rate ratio [IRR] = 1.46 [95% CI: 1.14, 1.86]; P = .003) and severe ARD (IRR = 1.79 [95% CI: 1.18, 2.73]; P = .006) events than those in the lowest quartile (≤-1.7%). Conclusion QIA progression was independently associated with higher odds of severe ARD events during and after radiographic progression, with higher frequency of intercurrent severe events in those with faster progression. Clinical trial registration no. NCT00608764 © RSNA, 2024 Supplemental material is available for this article . See also the editorial by Little in this issue. |
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معلومات مُعتمدة: | U01 HL089897 United States HL NHLBI NIH HHS; R01 HL116931 United States HL NHLBI NIH HHS; R21 HL140422 United States HL NHLBI NIH HHS; U01 HL089856 United States HL NHLBI NIH HHS; K08 HL145118 United States HL NHLBI NIH HHS; F32 HL167486 United States HL NHLBI NIH HHS; R01 HL149861 United States HL NHLBI NIH HHS; P01 HL114501 United States HL NHLBI NIH HHS; R01 HL164824 United States HL NHLBI NIH HHS; R01 HL149877 United States HL NHLBI NIH HHS |
تواريخ الأحداث: | Date Created: 20240430 Date Completed: 20240430 Latest Revision: 20240516 |
رمز التحديث: | 20240517 |
مُعرف محوري في PubMed: | PMC11070608 |
DOI: | 10.1148/radiol.231801 |
PMID: | 38687222 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1527-1315 |
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DOI: | 10.1148/radiol.231801 |