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Table 1 Comparison of SA patients with or without chronic OCS treatment (n = 982)

From: Chronic oral corticosteroids use and persistent eosinophilia in severe asthmatics from the Belgian severe asthma registry

Characteristics

No chronic OCS use

Chronic OCS use

P-value

N (%)

771 (79)

211 (21)

N/A

Gender: F (%) (n = 982)

463 (60)

107 (51)

0.018

Age (n = 981)

53 ± 16

55 ± 17

0.0792

Age of onset (%) (n = 982)

  < 12 yr

241 (32)

41 (20)

< 0.0001

 12–40 yr

296 (39)

71 (34)

  ≥ 40 yr

222 (29)

97 (46)

BMI (n = 982)

28 ± 13

27 ± 5

0.2454

Smoking History: (n = 982)

 Never (%)

471 (61)

126 (60)

0.092

 Current (%)

62 (8)

9 (4)

 Ex (%)

238 (31)

76 (36)

Estimated number of packyears (n = 386)

15 (7–25)

15 (7–25)

0.7406

Atopic status: y (%) (n = 982)

554 (72)

119 (56)

< 0.0001

Respiratory Familial History of asthma: true (%) (n = 982)

348 (45)

70 (33)

0.001

Current housing: (n = 975)

 City (%)

241 (31)

57 (28)

0.201

 Countryside (%)

281 (37)

70 (34)

 Sub-urban (%)

246 (32)

80 (39)

SABA: y (%) (n = 982)

656 (85)

176 (83)

0.3080

LABA: y (%) (n = 982)

755 (98)

211 (100)

0.4520

LAMA: y (%) (n = 982)

20 (3)

8 (4)

0.2380

OCS dose (median IQR) (%)

  < 4

N/A

29 (14)

N/A

 4–8

76 (36)

 8–16

72 (34)

  > 16 mg/d

34 (16)

Anti-IL5: y (%) (n = 982)

63 (8)

36 (17)

< 0.0001

Anti-IgE: y (%) (n = 982)

140 (18)

31 (15)

0.1410

Macrolides: y (%) (n = 982)

4 (1)

1 (1)

0.7070

 ACT (n = 758)

14.0 ± 5.3

12.9 ± 5.2

0.0195

 ACQ (n = 642)

2.5 ± 1.3

2.8 ± 1.4

0.0319

 AQLQ (n = 686)

4.2 ± 1.4

3.9 ± 1.4

0.0259

Exacerbations in last 12 months (n = 966)

2 (0–3)

3 (1–4)

< 0.0001

≥3 OCS burst for asthma exacerbation in last 12 months (n = 966)

235 (31)

128 (60)

< 0.0001

Number of emergency visits in last year (n = 340)

1 (0–1)

1 (0–2)

0.1177

Number of hospitalizations in last year (n = 337)

1 (0–1)

1 (0–1)

0.0690

Near fatal episodes last year (n = 99)

0 (0–0)

0 (0–1)

0.2762

Death: (%) (n = 982)

5 (0.6)

5 (2.4)

0.043

FEV1 (L) (n = 953)

2.01 ± 0.81

1.97 ± 0.86

0.5144

FEV1 (% predicted) (n = 953)

69 ± 21

67 ± 23

0.1874

FVC (% predicted) (n = 953)

87 ± 19

87 ± 23

0.7476

FEV1/FVC (% predicted) (n = 953)

64 ± 12

62 ± 13

0.0508

FEV1 Reversibility (n = 793)

11 ± 14

12 ± 13

0.1299

Total Lung Capacity (n = 838)

103 (91–115)

102 (89–113)

0.3674

Functional Residual Capacity (n = 692)

115 (96–141)

117 (98–138)

0.9700

Residual Volume (n = 782)

137 (110–167)

136 (107–171)

0.4914

DLCO (%) (n = 700)

83 ± 21

80 ± 19

0.1038

KCO (%) (n = 672)

98 ± 21

97 ± 20

0.6176

PC20M Value (mg/ml) (n = 88)

1.1 (0.26–8.00)

0.34 (0.10–2.00)

0.1338

Total serum IgE (kU/l) (n = 818)

182 (66–506)

162 (66–366)

0.3237

Blood Eosinophils (/mm3) (= 800)

290 (120–526)

339 (110–685)

0.2006

Blood Eosinophils (/mm3) (n = 800)

  < 150

192 (30)

52 (31)

0.071

 150–300

133 (21)

22 (13)

 300–400

81 (13)

21 (12)

  > 400

225 (36)

74 (44)

Sputum eosinophils (%) (n = 225)

7.2 (1.4–37.0)

6.0 (0.4–21.0)

0.1753

Sputum neutrophils (%) (n = 225)

51 (29–73)

63 (35–80)

0.3453

Sputum inflammatory (n = 225)

Phenotypes:

 Paucigranulo

18%

19%

0.450

 Eosino (≥3%)

60%

49%

 Neutro (≥76%)

17%

26%

 Mixed

5%

7%

Exhaled NO (50 ml/sec) (ppb) (n = 689)

24 (13–47)

30 (17–58)

0.0269

Emphysema (n = 971)

65 (9)

23 (11)

0.002

Bronchiectasis (n = 971)

109 (14)

42 (20)

0.001

Rhinosinusitis (n = 971)

396 (52)

118 (56)

0.463

Nasal polyposis (n = 971)

193 (26)

66 (31)

0.178

Overweight or obesity (n = 971)

393 (52)

100 (48)

0.507

Psychopathology (n = 971)

140 (18)

39 (19)

0.630

GERD (n = 971)

262 (34)

94 (45)

0.007

Vocal Cord Dysfunctions (n = 292)

1 (0.5)

1 (1)

0.371

ABPA (n = 971)

31 (4)

11 (5)

0.679

Aspirine-sensitive asthma (n = 971)

46 (6)

18 (9)

0.323

EGPA (Churg Strauss) (n = 971)

13 (2)

14 (7)

< 0.0001

Occupational asthma (n = 971)

24 (3)

7 (3)

0.1950

Premenstrual asthma (n = 971)

6 (1)

1 (0.5)

0.936

Aspergillar asthma (n = 292)

7 (3)

4 (6)

0.312

  1. Data are presented as mean ± SD or median and IQR. BMI Body Mass Index, SABA short acting beta-2 agonists, LABA long acting beta-2 agonists, LAMA long acting muscarinic antagonists, OCS oral corticosteroids, FEV1 forced expiratory volume in 1 , FVC forced vital capacity, TLC total lung capacity, FRC functional residual capacity, RV residual volume, DLCO diffusing capacity of lung for carbon monoxide, KCO transfer coefficient of the lung for carbon monoxide, PC20M provocative concentration of metacholine causing a 20% fall in FEV1 ppb, parts per billion, NO nitric oxide, ppb, parts per billion, ACT Asthma Control Test, ACQ Asthma Control Questionnaire, AQLQ Asthma Quality of Life Questionnaire, GERD gastroesophageal reflux disease, ABPA allergic bronchopulmonary aspergillosis, EGPA Eosinophilic granulomatosis with polyangiitis, N/A not applicable