Associations of oxygenated hemoglobin with disease burden and prognosis in stable COPD: Results from COSYCONET.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
29 06 2020
29 06 2020
Historique:
received:
04
02
2020
accepted:
27
05
2020
entrez:
1
7
2020
pubmed:
1
7
2020
medline:
16
12
2020
Statut:
epublish
Résumé
We studied whether in patients with stable COPD blood gases (BG), especially oxygenated hemoglobin (OxyHem) as a novel biomarker confer information on disease burden and prognosis and how this adds to the information provided by the comorbidity pattern and systemic inflammation. Data from 2137 patients (GOLD grades 1-4) of the baseline dataset of the COSYCONET COPD cohort were used. The associations with dyspnea, exacerbation history, BODE-Index (cut-off ≤2) and all-cause mortality over 3 years of follow-up were determined by logistic and Cox regression analyses, with sex, age, BMI and pack years as covariates. Predictive values were evaluated by ROC curves. Capillary blood gases included SaO
Identifiants
pubmed: 32601330
doi: 10.1038/s41598-020-67197-x
pii: 10.1038/s41598-020-67197-x
pmc: PMC7324620
doi:
Substances chimiques
Biomarkers
0
Oxyhemoglobins
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
10544Investigateurs
Stefan Andreas
(S)
Jürgen Behr
(J)
Burkhard Bewig
(B)
Roland Buhl
(R)
Ralf Ewert
(R)
Beate Stubbe
(B)
Joachim H Ficker
(JH)
Manfred Gogol
(M)
Christian Grohé
(C)
Rainer Hauck
(R)
Matthias Held
(M)
Markus Henke
(M)
Gerd Höffken
(G)
Hugo A Katus
(HA)
Anne-Marie Kirsten
(AM)
Rembert Koczulla
(R)
Klaus Kenn
(K)
Juliane Kronsbein
(J)
None Kropf-Sanchen
Christoph Lange
(C)
Peter Zabel
(P)
Michael Pfeifer
(M)
Winfried J Randerath
(WJ)
Werner Seeger
(W)
Michael Studnicka
(M)
Christian Taube
(C)
Helmut Teschler
(H)
Hartmut Timmermann
(H)
J Christian Virchow
(JC)
None Wagner
Hubert Wirtz
(H)
Références
Mathers, C. D. & Loncar, D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 3, e442, https://doi.org/10.1371/journal.pmed.0030442 (2006).
doi: 10.1371/journal.pmed.0030442
pubmed: 17132052
pmcid: 1664601
Kahnert, K. et al. The revised GOLD 2017 COPD categorization in relation to comorbidities. Respir Med 134, 79–85, https://doi.org/10.1016/j.rmed.2017.12.003 (2018).
doi: 10.1016/j.rmed.2017.12.003
pubmed: 29413512
Vogelmeier, C. F. et al. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report. GOLD Executive Summary. Am J Respir Crit Care Med 195, 557–582, https://doi.org/10.1164/rccm.201701-0218PP (2017).
doi: 10.1164/rccm.201701-0218PP
pubmed: 28128970
Singh, D. et al. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: the GOLD science committee report 2019. Eur Respir J 53, https://doi.org/10.1183/13993003.00164-2019 (2019).
Budweiser, S. et al. Predictors of survival in COPD patients with chronic hypercapnic respiratory failure receiving noninvasive home ventilation. Chest 131, 1650–1658, https://doi.org/10.1378/chest.06-2124 (2007).
doi: 10.1378/chest.06-2124
pubmed: 17565016
Budweiser, S., Jorres, R. A., Heinemann, F. & Pfeifer, M. Prognostic factors for COPD patients with chronic hypercapnic respiratory failure and home ventilation. Pneumologie 63, 484–491, https://doi.org/10.1055/s-0029-1214993 (2009).
Trudzinski, F. C. et al. Combined effects of lung function, blood gases and kidney function on the exacerbation risk in stable COPD: Results from the COSYCONET cohort. Respir Med 154, 18–26, https://doi.org/10.1016/j.rmed.2019.06.007 (2019).
doi: 10.1016/j.rmed.2019.06.007
pubmed: 31203096
Andreas, S. et al. Decline of COPD exacerbations in clinical trials over two decades - a systematic review and meta-regression. Respir Res 20, 186, https://doi.org/10.1186/s12931-019-1163-2 (2019).
doi: 10.1186/s12931-019-1163-2
pubmed: 31420040
pmcid: 6697937
Kessler, R. et al. Patient understanding, detection, and experience of COPD exacerbations: an observational, interview-based study. Chest 130, 133–142, https://doi.org/10.1378/chest.130.1.133 (2006).
doi: 10.1378/chest.130.1.133
pubmed: 16840393
Thomsen, M. et al. Inflammatory biomarkers and exacerbations in chronic obstructive pulmonary disease. JAMA 309, 2353–2361, https://doi.org/10.1001/jama.2013.5732 (2013).
doi: 10.1001/jama.2013.5732
pubmed: 23757083
Celli, B. R. et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med 350, 1005–1012, https://doi.org/10.1056/NEJMoa021322 (2004).
doi: 10.1056/NEJMoa021322
pubmed: 14999112
Karch, A. et al. The German COPD cohort COSYCONET: Aims, methods and descriptive analysis of the study population at baseline. Respir Med 114, 27–37, https://doi.org/10.1016/j.rmed.2016.03.008S0954-6111(16)30038-5 (2016).
doi: 10.1016/j.rmed.2016.03.008S0954-6111(16)30038-5
pubmed: 27109808
Miller, M. R. et al. Standardisation of spirometry. Eur Respir J 26, 319–338, https://doi.org/10.1183/09031936.05.00034805 (2005).
doi: 10.1183/09031936.05.00034805
pubmed: 16055882
Criee, C. P. et al. [Recommendations on spirometry by Deutsche Atemwegsliga]. Pneumologie 60, 576–584, https://doi.org/10.1055/s-2006-944245 (2006).
doi: 10.1055/s-2006-944245
pubmed: 17006795
Criee, C. P. et al. Body plethysmography–its principles and clinical use. Respir Med 105, 959–971, https://doi.org/10.1016/j.rmed.2011.02.006S0954-6111(11)00055-2 (2011).
doi: 10.1016/j.rmed.2011.02.006S0954-6111(11)00055-2
pubmed: 21356587
Wanger, J. et al. Standardisation of the measurement of lung volumes. Eur Respir J 26, 511–22, https://doi.org/10.1183/09031936.05.00035005 (2005).
doi: 10.1183/09031936.05.00035005
pubmed: 16135736
Macintyre, N. et al. Standardisation of the single-breath determination of carbon monoxide uptake in the lung. Eur Respir J 26, 720–735, https://doi.org/10.1183/09031936.05.00034905 (2005).
doi: 10.1183/09031936.05.00034905
pubmed: 16204605
Quanjer, P. H. et al. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J 40, 1324–1343, https://doi.org/10.1183/09031936.00080312 (2012).
doi: 10.1183/09031936.00080312
pubmed: 22743675
pmcid: 3786581
Mahler, D. A. & Wells, C. K. Evaluation of clinical methods for rating dyspnea. Chest 93, 580–586, doi:S0012-3692(16)30335-X [pii] (1988).
Vogelmeier, C. F. et al. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report: GOLD Executive Summary. Eur Respir J 49, https://doi.org/10.1183/13993003.00214-201713993003.00214-2017 (2017).
ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 166, 111–117, https://doi.org/10.1164/ajrccm.166.1.at1102 (2002).
Langlands, J. H. & Wallace, W. F. Small Blood-Samples from Ear-Lobe Puncture: A Substitute for Arterial Puncture. Lancet 2, 315–317, https://doi.org/10.1016/s0140-6736(65)90286-2 (1965).
doi: 10.1016/s0140-6736(65)90286-2
pubmed: 14330098
Duke, J. W. et al. Decreased arterial PO2, not O2 content, increases blood flow through intrapulmonary arteriovenous anastomoses at rest. J Physiol 594, 4981–4996, https://doi.org/10.1113/JP272211 (2016).
doi: 10.1113/JP272211
pubmed: 27062157
pmcid: 5009803
Lucke, T. et al. Systematic Analysis of Self-Reported Comorbidities in Large Cohort Studies - A Novel Stepwise Approach by Evaluation of Medication. PLoS One 11, e0163408, https://doi.org/10.1371/journal.pone.0163408 (2016).
doi: 10.1371/journal.pone.0163408
pubmed: 27792735
pmcid: 5085029
Waschki, B. et al. High-sensitivity troponin I and all-cause mortality in patients with stable COPD: An analysis of the COSYCONET study. Eur Respir J https://doi.org/10.1183/13993003.01314-2019 (2019).
doi: 10.1183/13993003.01314-2019
Mannino, D. M., Thorn, D., Swensen, A. & Holguin, F. Prevalence and outcomes of diabetes, hypertension and cardiovascular disease in COPD. Eur Respir J 32, 962–969, https://doi.org/10.1183/09031936.00012408 (2008).
doi: 10.1183/09031936.00012408
pubmed: 18579551
Divo, M. et al. Comorbidities and risk of mortality in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 186, 155–161, https://doi.org/10.1164/rccm.201201-0034OC (2012).
doi: 10.1164/rccm.201201-0034OC
pubmed: 22561964
Kahnert, K. et al. Relationship of hyperlipidemia to comorbidities and lung function in COPD: Results of the COSYCONET cohort. PLoS One 12, e0177501, https://doi.org/10.1371/journal.pone.0177501 (2017).
doi: 10.1371/journal.pone.0177501
pubmed: 28505167
pmcid: 5432186
Kahnert, K. et al. Uric acid, lung function, physical capacity and exacerbation frequency in patients with COPD: a multi-dimensional approach. Respir Res 19, 110, https://doi.org/10.1186/s12931-018-0815-y (2018).
doi: 10.1186/s12931-018-0815-y
pubmed: 29866121
pmcid: 5987642
Marin, J. M., Soriano, J. B., Carrizo, S. J., Boldova, A. & Celli, B. R. Outcomes in patients with chronic obstructive pulmonary disease and obstructive sleep apnea: the overlap syndrome. Am J Respir Crit Care Med 182, 325–331, https://doi.org/10.1164/rccm.200912-1869OC (2010).
doi: 10.1164/rccm.200912-1869OC
pubmed: 20378728
Rascon-Aguilar, I. E. et al. Role of gastroesophageal reflux symptoms in exacerbations of COPD. Chest 130, 1096–1101, https://doi.org/10.1378/chest.130.4.1096 (2006).
doi: 10.1378/chest.130.4.1096
pubmed: 17035443
Jennings, B. H., Andersson, K. E. & Johansson, S. A. Assessment of the systemic effects of inhaled glucocorticosteroids: the influence of blood sampling technique and frequency on plasma cortisol and leucocytes. Eur J Clin Pharmacol 39, 127–131, https://doi.org/10.1007/bf00280045 (1990).
doi: 10.1007/bf00280045
pubmed: 2253661
Pasternak, Y. et al. Inhaled corticosteroids increase blood neutrophil count by decreasing the expression of neutrophil adhesion molecules Mac-1 and L-selectin. Am J Emerg Med 34, 1977–1981, https://doi.org/10.1016/j.ajem.2016.07.003 (2016).
doi: 10.1016/j.ajem.2016.07.003
pubmed: 27498916
Saffar, A. S., Ashdown, H. & Gounni, A. S. The molecular mechanisms of glucocorticoids-mediated neutrophil survival. Curr Drug Targets 12, 556–562, https://doi.org/10.2174/138945011794751555 (2011).
doi: 10.2174/138945011794751555
pubmed: 21504070
pmcid: 3267167
Agusti, A. et al. Persistent systemic inflammation is associated with poor clinical outcomes in COPD: a novel phenotype. PLoS One 7, e37483, https://doi.org/10.1371/journal.pone.0037483 (2012).
doi: 10.1371/journal.pone.0037483
pubmed: 22624038
pmcid: 3356313
Wildman, R. P., Muntner, P., Chen, J., Sutton-Tyrrell, K. & He, J. Relation of inflammation to peripheral arterial disease in the national health and nutrition examination survey, 1999–2002. Am J Cardiol 96, 1579–1583, https://doi.org/10.1016/j.amjcard.2005.07.067 (2005).
doi: 10.1016/j.amjcard.2005.07.067
pubmed: 16310445
Erlinger, T. P., Muntner, P. & Helzlsouer, K. J. WBC count and the risk of cancer mortality in a national sample of U.S. adults: results from the Second National Health and Nutrition Examination Survey mortality study. Cancer Epidemiol Biomarkers Prev 13, 1052–1056 (2004).
pubmed: 15184263
Koo, H. K. et al. Systemic White Blood Cell Count as a Biomarker Associated with Severity of Chronic Obstructive Lung Disease. Tuberc Respir Dis (Seoul) 80, 304–310, https://doi.org/10.4046/trd.2017.80.3.304 (2017).
doi: 10.4046/trd.2017.80.3.304
Grimm, R. H. Jr., Neaton, J. D. & Ludwig, W. Prognostic importance of the white blood cell count for coronary, cancer, and all-cause mortality. JAMA 254, 1932–1937 (1985).
doi: 10.1001/jama.1985.03360140090031
MacIntyre, N. R. Tissue hypoxia: implications for the respiratory clinician. Respir Care 59, 1590–1596, https://doi.org/10.4187/respcare.03357 (2014).
doi: 10.4187/respcare.03357
pubmed: 25161296
von Siemens, S. M. et al. The association of cognitive functioning as measured by the DemTect with functional and clinical characteristics of COPD: results from the COSYCONET cohort. Respir Res 20, 257, https://doi.org/10.1186/s12931-019-1217-5 (2019).
doi: 10.1186/s12931-019-1217-5
Kollert, F. et al. Hemoglobin levels above anemia thresholds are maximally predictive for long-term survival in COPD with chronic respiratory failure. Respir Care 58, 1204–1212, https://doi.org/10.4187/respcare.01961 (2013).
doi: 10.4187/respcare.01961
pubmed: 23232736
Putcha, N. et al. Anemia and Adverse Outcomes in a Chronic Obstructive Pulmonary Disease Population with a High Burden of Comorbidities. An Analysis from SPIROMICS. Ann Am Thorac Soc 15, 710–717, https://doi.org/10.1513/AnnalsATS.201708-687OC (2018).
doi: 10.1513/AnnalsATS.201708-687OC
pubmed: 30726108
pmcid: 6207135
Cote, C., Zilberberg, M. D., Mody, S. H., Dordelly, L. J. & Celli, B. Haemoglobin level and its clinical impact in a cohort of patients with COPD. Eur Respir J 29, 923–929, https://doi.org/10.1183/09031936.00137106 (2007).
doi: 10.1183/09031936.00137106
pubmed: 17251227
John, M. et al. Anemia and inflammation in COPD. Chest 127, 825–829, https://doi.org/10.1378/chest.127.3.825 (2005).
doi: 10.1378/chest.127.3.825
pubmed: 15764763
Schneckenpointner, R. et al. The clinical significance of anaemia and disturbed iron homeostasis in chronic respiratory failure. Int J Clin Pract 68, 130–138, https://doi.org/10.1111/ijcp.12216 (2014).
doi: 10.1111/ijcp.12216
pubmed: 24341307
Kollert, F. et al. Anaemia in chronic respiratory failure. Int J Clin Pract 65, 479–486, https://doi.org/10.1111/j.1742-1241.2011.02631.x (2011).
doi: 10.1111/j.1742-1241.2011.02631.x
pubmed: 21401836
Ferrari, M. et al. Anemia and hemoglobin serum levels are associated with exercise capacity and quality of life in chronic obstructive pulmonary disease. BMC Pulm Med 15, 58, https://doi.org/10.1186/s12890-015-0050-y (2015).
doi: 10.1186/s12890-015-0050-y
pubmed: 25952923
pmcid: 4426177
Chambellan, A., Chailleux, E., Similowski, T. & Group, A. O. Prognostic value of the hematocrit in patients with severe COPD receiving long-term oxygen therapy. Chest 128, 1201–1208, https://doi.org/10.1378/chest.128.3.1201 (2005).
doi: 10.1378/chest.128.3.1201
pubmed: 16162707
Köhler, D. CO2-W zur Beurteilung der Sauerstoff-Organversorgung: Klinische Bedeutung des Sauerstoffgehaltes. Dtsch Arztebl International 102, 2026- (2005).
Patel, M. S., McKie, E., Steiner, M. C., Pascoe, S. J. & Polkey, M. I. Anaemia and iron dysregulation: untapped therapeutic targets in chronic lung disease? BMJ Open Respir Res 6, e000454, https://doi.org/10.1136/bmjresp-2019-000454 (2019).
doi: 10.1136/bmjresp-2019-000454
pubmed: 31548896
pmcid: 6733331