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Table 5 COPD exacerbations by treatment and according to baseline disease severity during the trial in randomised patients

From: Efficacy and safety of tiotropium in COPD patients in primary care – the SPiRiva Usual CarE (SPRUCE) study

 

Tiotropium

Placebo

Number of patients treated

200

195

≥1 COPD exacerbation, n (%)

19 (9.5)

35 (17.9)*

1 exacerbation, n (%)

15 (7.5)

28 (14.4)

2 exacerbations, n (%)

4 (2.0)

5 (2.6)

3 exacerbations, n (%)

0 (0.0)

2 (1.0)

Baseline disease severity, proportion (%)

  

Mild (FEV1 ≥50% predicted)

6/88 (6.8)

16/95 (16.8)*

Moderate (30% ≤FEV1 <50% predicted)

11/104 (10.6)

18/96 (18.8)

Severe (FEV1 <30% predicted)

2/8 (25.0)

1/4 (25.0)

Moderate/severe (FEV1 <50% predicted)

13/112 (11.6)

19/100 (19.0)

Treatment change, n (%)

  

Antibiotics

12 (6.0)

13 (6.7)

+ bronchodilator

 

4 (2.0)

+ bronchodilator + oral steroid

1 (0.5)

1 (0.5)

+ oral steroid

2 (1.0)

12 (6.2)

Oral steroid

 

3 (1.5)

Bronchodilator

1 (0.5)

1 (0.5)

+ inhaled steroid

3 (1.5)

 

Inhaled steroid

 

1 (0.5)

  1. * p < 0.05
  2. Treatment change included prescription of antibiotics and/or systemic steroids and/or a significant change (including increase) of the prescribed respiratory medication (bronchodilators including theophylline)
  3. Definitions of abbreviations: COPD = chronic obstructive pulmonary disease; FEV1 = forced expiratory volume in 1 second