Mortality and comorbidities in patients with bronchiectasis over a 3-year follow-up.
Simone Paulo MateusMarcelo Ribeiro-AlvesRaquel Esteves Brandão SallesWalter CostaClaudia Henrique da CostaAgnaldo José LopesThiago Prudente BártholoThiago Thomaz MafortBernardo Rangel TuraRogerio Lopes Rufino AlvesPublished in: Medicine (2023)
To identify the risk factors associated with all-cause mortality in patients with noncystic fibrosis bronchiectasis (NCFB). This prospective cohort study included 120 adult patients with NCFB, who were regularly treated at a specialized outpatient clinic of a university hospital between January 2017 and June 2020. All patients were diagnosed using high-resolution computed tomography. Demographic and clinical data, pulmonary function tests, and the Euro-quality-of-life 5-domain 3-level questionnaire were analyzed. The factors associated with death were determined using the Cox proportional hazards model. The all-cause mortality rate at 41 months was 10.8%. Adjusted multivariate analysis showed that the main contributing predictors for mortality were female sex, smoking, diabetes, chronic obstructive pulmonary disease, emergency visits, use of antibiotics due to exacerbation, secretion color change, exacerbation, predicted forced expiratory volume in 1 second, predicted forced vital capacity, lack of respiratory physiotherapy, absence of vaccination against pneumococci, and mobility domain. Multiple factors contribute to unfavorable outcomes in patients with NCFB, and early recognition of these factors may improve care management.
Keyphrases
- chronic obstructive pulmonary disease
- computed tomography
- cystic fibrosis
- high resolution
- healthcare
- end stage renal disease
- palliative care
- ejection fraction
- type diabetes
- cardiovascular disease
- public health
- lung function
- emergency department
- chronic kidney disease
- risk factors
- magnetic resonance imaging
- positron emission tomography
- electronic health record
- mass spectrometry
- quality improvement
- prognostic factors
- smoking cessation
- skeletal muscle
- metabolic syndrome
- patient reported outcomes
- coronary artery disease
- machine learning
- respiratory tract
- air pollution
- pain management
- pet ct
- respiratory failure
- image quality
- deep learning
- liver fibrosis