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Respiratory Medicine COPD Update
Article . 2006 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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European Respiratory Journal
Article . 2006 . Peer-reviewed
Data sources: Crossref
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C-reactive protein levels and clinically important predictive outcomes in stable COPD patients

Authors: De Torres, Juan Pablo; Córdoba-Lanús, E.; López-Aguilar, Celeste; Muros de Fuentes, M.; Montejo de Garcini, Angel; Aguirre-Jaime, Armando J.; Celli, Bartolomé R.; +1 Authors

C-reactive protein levels and clinically important predictive outcomes in stable COPD patients

Abstract

The aim of this study was to determine the relationship between C-reactive protein (CRP) levels and factors known to predict outcome in stable chronic obstructive pulmonary disease (COPD) patients.The following were studied in 130 stable COPD patients: spirometry, lung volume, arterial oxygen tension (Pa,O2), dyspnoea, 6-min walk distance (6MWD), body mass index, fat-free mass index, BODE (body mass index, obstruction, dyspnoea and exercise capacity), health-related quality of life, smoking status, the presence of cardiovascular risk factors or disease, corticosteroid use and number of exacerbations in the previous year. CRP levels were measured in these patients and in 65 controls. Using univariate and multivariate analyses, any possible association with the predictors of outcomes was evaluated.CRP levels were higher in COPD patients than in controls (4.1versus1.8 mg·L−1, respectively). Correlation was found with the following variables: forced expiratory volume in one second (FEV1; −0.23), FEV1% (−0.20), forced vital capacity (FVC; −0.24), FVC % (−0.24), Global Initiative for Chronic Obstructive Lung Disease stage (0.17), BODE (0.17), inspiratory capacity/total lung capacity (−0.20),Pa,O2(−0.40) and 6MWD (−0.30). Using multivariate analysis,Pa,O2and 6MWD manifested the strongest negative association with CRP levels.C-reactive protein levels in stable chronic obstructive pulmonary disease patients are best correlated with arterial oxygen tension and 6-min walk distance. This should be considered when C-reactive protein levels are measured in stable chronic obstructive pulmonary disease patients.

Keywords

Male, Chronic obstructive pulmonary disease, Prognosis, Systematic inflammation, C-reactive protein, Pulmonary Disease, Chronic Obstructive, C-Reactive Protein, Humans, Female, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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OpenAIRE UsageCountsViews provided by UsageCounts
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256
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