EMPIRE Registry, Czech Part: Impact of demographics, pulmonary function and HRCT on survival and clinical course in idiopathic pulmonary fibrosis.

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F18%3A73594337" target="_blank" >RIV/61989592:15110/18:73594337 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/18:00102047 RIV/00216208:11110/18:10375294 RIV/00216208:11130/18:10375294 RIV/00216208:11140/18:10375294 and 8 more

Result on the web

<a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/crj.12700" target="_blank" >https://onlinelibrary.wiley.com/doi/abs/10.1111/crj.12700</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/crj.12700" target="_blank" >10.1111/crj.12700</a>

Result language

angličtina

Original language name

EMPIRE Registry, Czech Part: Impact of demographics, pulmonary function and HRCT on survival and clinical course in idiopathic pulmonary fibrosis.

Original language description

Introduction Prognostic factors of idiopathic pulmonary fibrosis (IPF) currently recognized include changes in vital capacity and radiologic findings. However, most of the prognostic studies in IPF are based on clinical studies with preselected IPF populations. Therefore, we decided to analyze the factors influencing IPF prognosis based on the real‐practice data from our IPF registry. Methods Data of 514 subjects consecutively entered since 2012 into Czech EMPIRE IPF registry were analyzed. Results Median age of our patient cohort was 67 years (50–82). Median overall survival (OS) of the cohort was 63.1 months. The clinical course of IPF according to FVC (forced vital capacity) changes was stabilized in 32.8% of patients (29.7% according to DLCO [diffuse lung capacity] changes), slowly progressive in 39.5% (45%), rapidly progressive in 23.5% (20.7%); and 1.7% patients had at least one acute exacerbation during follow‐up. Deterioration in FVC of ≥10% at month 12 and in DLCO of ≥15% at months 12, 18, and 24 influenced the OS significantly. The fast progressors defined by the DLCO decline rate had higher risk of death compared to those defined by the FVC change over time. In multivariate analysis, age ≥70 years, interstitial HRCT scores ≥3, and change in DLCO of ≥15% at month 12 were confirmed as factors negatively influencing OS. Conclusions DLCO changes over time were shown as a better predictor of mortality compared with FVC changes in our study. In our opinion it is necessary to implement the DLCO analysis into clinical trials and routine practice.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30203 - Respiratory systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Clinical Respiratory Journal

ISSN

1752-6981

e-ISSN

—

Volume of the periodical

12

Issue of the periodical within the volume

4

Country of publishing house

DK - DENMARK

Number of pages

10

Pages from-to

1526-1535

UT code for WoS article

000429581600025

EID of the result in the Scopus database

2-s2.0-85045122005