GOLD Classifications, COPD Hospitalization, and All-Cause Mortality in Chronic Obstructive Pulmonary Disease: The HUNT Study.


Journal

International journal of chronic obstructive pulmonary disease
ISSN: 1178-2005
Titre abrégé: Int J Chron Obstruct Pulmon Dis
Pays: New Zealand
ID NLM: 101273481

Informations de publication

Date de publication:
2020
Historique:
received: 28 08 2019
accepted: 09 01 2020
entrez: 27 2 2020
pubmed: 27 2 2020
medline: 10 2 2021
Statut: epublish

Résumé

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) has published three classifications of COPD from 2007 to 2017. No studies have investigated the ability of these classifications to predict COPD-related hospitalizations. We aimed to compare the discrimination ability of the GOLD 2007, 2011, and 2017 classifications to predict COPD hospitalization and all-cause mortality. We followed 1300 participants with COPD aged ≥40 years who participated in the HUNT Study (1995-1997) through to December 31, 2015. Survival analysis and time-dependent area under receiver operating characteristics curves (AUC) were used to compare the discrimination abilities of the GOLD classifications. Of the 1300 participants, 522 were hospitalized due to COPD and 896 died over 20.4 years of follow-up. In adjusted models, worsening GOLD 2007, GOLD 2011, or GOLD 2017 categories were associated with higher hazards for COPD hospitalization and all-cause mortality, except for the GOLD 2017 classification and all-cause mortality (p The GOLD 2007 classification was better than the GOLD 2011 and 2017 classifications at predicting COPD hospitalization and all-cause mortality.

Identifiants

pubmed: 32099347
doi: 10.2147/COPD.S228958
pii: 228958
pmc: PMC6999582
doi:

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

225-233

Informations de copyright

© 2020 Bhatta et al.

Déclaration de conflit d'intérêts

LB reports personal fees for presenting the abstract of this study at Nordic Respiratory Science Forum (NRSF) organized by AstraZeneca in 2019. The authors report no other conflicts of interest in this work.

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Auteurs

Laxmi Bhatta (L)

Department of Public Health and Nursing, NTNU Norwegian University of Science and Technology, Trondheim, Norway.

Linda Leivseth (L)

Centre for Clinical Documentation and Evaluation (SKDE), Northern Norway Regional Health Authority, Tromsø, Norway.

Xiao-Mei Mai (XM)

Department of Public Health and Nursing, NTNU Norwegian University of Science and Technology, Trondheim, Norway.

Anne Hildur Henriksen (AH)

Department of Circulation and Medical Imaging, NTNU Norwegian University of Science and Technology, Trondheim, Norway.
Clinic of Thoracic and Occupational Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.

David Carslake (D)

Medical Research Council Integrative Epidemiology Unit, Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Population Health Sciences, University of Bristol, Bristol, UK.

Yue Chen (Y)

School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.

Arnulf Langhammer (A)

HUNT Research Centre, Department of Public Health and Nursing, NTNU Norwegian University of Science and Technology, Levanger, Norway.

Ben Michael Brumpton (BM)

Clinic of Thoracic and Occupational Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Medical Research Council Integrative Epidemiology Unit, Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, NTNU Norwegian University of Science and Technology, Trondheim, Norway.

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