Unique ID issued by UMIN | UMIN000026114 |
---|---|
Receipt number | R000014363 |
Scientific Title | A Retrospective Study of Prognostic Factors in Patients with Interstitial Pneumonia Receiving Long-Term Oxygen Therapy |
Date of disclosure of the study information | 2017/02/13 |
Last modified on | 2017/02/13 16:32:50 |
A Retrospective Study of Prognostic Factors in Patients with Interstitial Pneumonia Receiving Long-Term Oxygen Therapy
Prognosis of IP Patients Receiving LTOT
A Retrospective Study of Prognostic Factors in Patients with Interstitial Pneumonia Receiving Long-Term Oxygen Therapy
Prognosis of IP Patients Receiving LTOT
Japan |
interstitial pneumonia
Medicine in general | Pneumology |
Others
NO
We retrospectively analyzed 76 patients who were clinically diagnosed with interstitial pneumonia and initiated to be prescribed long-term oxygen therapy to investigate the prognosis from the initiation of long-term oxygen therapy and clarify prognostic factors.
Others
Epidemiological survey
Survival time from the initiation of long-term oxygen therapy.
Observational
Not applicable |
Not applicable |
Male and Female
Patients who were clinically diagnosed as idiopathic interstitial pneumonia or interstitial pneumonia associated with collagen vascular disease and initiated to be prescribed long-term oxygen therapy in Osaka University Hospital from January 1999 to December 2012 were searched. The diagnosis of interstitial pneumonia was determined based on laboratory data, pulmonary function test, physical examination, and high resolution computed tomography findings.
subjects with intersititl apneumonia suspected to be secondary to environmental exposure or drug toxicities; subjects with severe organ disease or active invasive cancer at the initiation of long-term oxygen therapy.
80
1st name | |
Middle name | |
Last name | Takashi Kijima |
Osaka University Graduate School of Medicine
Department of Respiratory Medicine, Allergy, and Rheumatic Diseases
2-2 Yamadaoka Suita Osaka, Japan
06-6879-3833
tkijima@imed3.med.osaka-u.ac.jp
1st name | |
Middle name | |
Last name | Takashi Kijima |
Osaka University Graduate School of Medicine
Department of Respiratory Medicine, Allergy, and Rheumatic Diseases
2-2 Yamadaoka Suita Osaka, Japan
06-6879-3833
tkijima@imed3.med.osaka-u.ac.jp
Department of Respiratory Medicine, Allergy, and Rheumatic Diseases, Osaka University Graduate School of Medicine
None
Other
NO
2017 | Year | 02 | Month | 13 | Day |
Published
http://link.springer.com/article/10.1007/s00408-014-9623-4
PURPOSE: We retrospectively analyzed patients with clinically diagnosed interstitial pneumonia to investigate the factors which contribute to the difference in prognosis from the initiation of long-term oxygen therapy (LTOT) among subtypes.
METHODS:
Seventy-six patients with clinically diagnosed idiopathic interstitial pneumonia (IIP; n = 49) or interstitial pneumonia associated with collagen vascular disease (CVD-IP; n = 27) in whom LTOT was initiated in our facility from January 1999 to December 2012 were analyzed.
RESULTS: Patients with CVD-IP had significantly longer survival time from the initiation of LTOT than those with IIP with the median survival of 51.7 months versus 18.8 months, respectively. The 1-year survival rate was 92.4% for patients with CVD-IP versus 76.5% for those with IIP, and 2-year survival was 88.6 versus 36.0%, respectively. The patterns classified with high-resolution computed tomography (HRCT) were not associated with prognosis. The association between pulmonary hypertension and prognosis was unclear. In results of the multivariate Cox analysis which included factors demonstrating p < 0.1 in the univariate Cox analysis, male gender, low body mass index, and the absence of collagen vascular disease (CVD) were significantly associated with poor prognosis.
CONCLUSIONS: After the initiation of LTOT, patients with IIP had poor prognosis regardless of the patterns classified with HRCT, while those with CVD-IP survived longer. Male gender, low body mass index, and the absence of CVD were the independent negative prognostic factors in patients with interstitial pneumonia receiving LTOT.
Completed
2013 | Year | 10 | Month | 30 | Day |
2013 | Year | 11 | Month | 30 | Day |
Completed
2017 | Year | 02 | Month | 13 | Day |
2017 | Year | 02 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014363