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題 名 | Correlation of the New GOLD Classification (2013 Version) with Exercise Capacity and Mortality Risk=新版GOLD分類(2013版本)與運動能力及死亡率之關聯性 |
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作 者 | 周柏安; 郭乃瑛; 曾靜菀; 王金洲; 秦建弘; 林孟志; 劉世豐; | 書刊名 | 胸腔醫學 |
卷 期 | 29:5 2014.10[民103.10] |
頁 次 | 頁263-271 |
分類號 | 415.428 |
關鍵詞 | GOLD分類; 6分鐘步行測試; 死亡率; 運動能力; 慢性阻塞性肺病; GOLD classification; 6-minute walking distance; Mortality; Exercise capacity; COPD; |
語 文 | 英文(English) |
中文摘要 | 背景:2013年發表新版GOLD指引,建議合併第一秒吐氣量、症狀評分以及急性惡化頻率,以評估慢性阻塞性肺病嚴重程度,本研究針對新舊版GOLD指引評估疾病嚴重度,比較兩者與病人運動能力跟死亡率的關聯性。研究方法:由114位病況穩定慢性阻塞性肺病病人,比較不同的嚴重度分類方法(新舊版GOLD指引)與六分鐘步行測試及死亡率之間的關聯。結果:病人一開始先根據舊版GOLD指引分成階段I(17位,14.9%)、II(36位,31.6%)、III(50位,43.9%)以及IV(11位,9.6%),然後再根據新版指引重新分組為群組A(29位,25.4%)、B(21位,18.4%)、C(14位,12.3%)以及D(50位,43.9%),各階段及群組的病人,在年紀、性別、身體質量指數及抽菸包-年數的組成並沒有顯著的差異。六分鐘步行測試顯示群組A及D(447.5 vs. 361.9公尺,p=0.003)與階段I及III(477.1 vs. 365.9公尺,p=0.001)有明顯差異,Kaplan-Meier統計方法顯示新版分類與病人死亡率有關連(p=0.02),但舊版的部分並沒有(p=0.58)。結論:新版GOLD指引相較於舊版,更能有效預測病人的運動能力與兩年內死亡率。 |
英文摘要 | Background and Objective: The new GOLD guideline published in 2013 recommends assessing the severity of COPD by a combination of FEV1, symptom scoring, and exacerbation frequency. The objective of this study was to compare the association of COPD severity stratification with exercise capacity and mortality using both the old and the new GOLD guidelines. Methods: The correlations of the 6-minute walking distance (6MWD) and mortality rate with different COPD staging methods (the old and new GOLD classifications) were compared in a cohort of 114 clinically stable COPD patients. Results: Patients were initially stratified into stage I (17 patients, 14.9%), stage II (36 patients, 31.6%), stage III (50 patients, 43.9%), and stage IV (11 patients, 9.6%) using the old GOLD classification system. Using the new GOLD classification, they were re-grouped into group A (29 patients, 25.4%), B (21 patients, 18.4%), C (14 patients, 12.3%), and D (50 patients, 43.9%). Age, gender, body mass index, and cigarette pack-years showed no significant difference among the groups and stages. There was a significant difference in the 6MWD between groups A and D (447.5 vs. 361.9 meters, p=0.003) and stages I and III (477.1 vs. 365.9 meters, p=0.001). The Kaplan-Meier method showed that the new GOLD classification was associated with mortality risk (p=0.02), but not the old GOLD classification (p=0.58). Conclusions: The new GOLD classification is better than the old one in the estimation of exercise capacity and 2-year mortality risk in stable COPD patients. |
本系統中英文摘要資訊取自各篇刊載內容。