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Table 2 Patient characteristics according to the transition patterns of inflammatory types

From: Nationwide survey of refractory asthma with bronchiectasis by inflammatory subtypes

 

N‡

Low-to-low

N = 20

High’-to-low

N = 21

High’-to-high’

N = 44

p-value

Age, years

85

62.0 ± 15.2

71.3 ± 11.1

64.6 ± 12.1

0.08

Sex, male, n (%)

85

7 (35.0)

8 (38.1)

16 (36.4)

0.98

Body mass index, kg/m2

73

22.9 ± 3.9

22.2 ± 4.2

22.7 ± 4.3

0.90

Follow-up period, years

85

7.8 ± 5.4

9.3 ± 5.3

7.8 ± 6.2

0.29

Smoking history, never/past/current, %

84

60/40/0

71/29/0

61/33/7

0.46

Age at diagnosis of asthma, years

82

37.6 ± 21.8

51.4 ± 21.3

44.3 ± 19.9

0.14

Age at diagnosis of bronchiectasis/bronchiolitis, years

76

56.9 ± 14.7

64.3 ± 11.0

59.3 ± 14.9

0.32

Period from asthma diagnosis to bronchiectasis/bronchiolitis diagnosis, years

74

19.3 ± 19.3§

5.9 ± 7.1

15.1 ± 15.8

0.03

Current ICS dose, μg/day (eq. to FP)

83

513 ± 317¶

698 ± 303

802 ± 400

0.03

Maximum dose of ICS in the past, μg/day (eq. to FP)

73

653 ± 322

575 ± 438

536 ± 407

0.54

OCS use, never/past/current

83

16/2/2§

7/2/11

27/8/8

0.01

OCS dose in long-term OCS* user, < 5 mg/day / ≥ 5 mg/day/missing (eq. to prednisolone), n

33

1/3/0

5/7/1

5/11/0

0.78

Most effective treatment in stable phase†

 ICS, n (%)

84

5 (26.3)

2 (9.5)¶

23 (52.3)

0.002

 OCS, n (%)

85

2 (10.0) §

8 (38.1)¶

6 (13.6)

0.03

 Macrolide therapy, n (%)

85

5 (25.0) ¶

4 (19.0)

3 (6.8)

0.12

Most effective treatment on exacerbation†

 SCS, n (%)

82

7 (35.0)

12 (63.2)

24 (55.8)

0.17

 Antibiotics, n (%)

78

6 (31.6) ¶

5 (26.3)¶

2 (5.0)

0.02

Current data: Blood eosinophil counts, /μL

85

127 ± 98¶

144 ± 98¶

599 ± 575

 < 0.0001

 Serum total IgE, IU/mL

53

224 ± 312¶

384 ± 386

552 ± 670

0.055

 Serum C-reactive protein, mg/dL

69

1.0 ± 2.0

1.0 ± 1.4

0.7 ± 2.1

0.37

 Exhaled nitric oxide, ppb

85

15.3 ± 7.1¶

18.5 ± 8.1¶

71.4 ± 55.3

 < 0.0001

Modified Reiff score

82

2.6 ± 3.6

3.9 ± 3.9

2.2 ± 2.3

0.37

Number of lobes affected by bronchiolitis

75

3.6 ± 2.2

3.5 ± 2.6

2.1 ± 2.1

0.02

Gram-negative bacteria ( +) in sputum, n (%)

67

12 (66.7) ¶

9 (56.3)§

4 (12.1)

0.0001

P. aeruginosa ( +) in the latest sputum, n (%)

67

7 (38.9) ¶

6 (37.5)§

1 (3.0)

0.002

Past data: Blood eosinophil counts, /μL

85

132 ± 85§¶

529 ± 346

645 ± 545

 < 0.0001

 Serum total IgE, IU/mL

57

434 ± 562

372 ± 451

1271 ± 2952

0.10

 Serum C-reactive protein, mg/dL

71

1.6 ± 2.0¶

0.5 ± 0.5

0.3 ± 0.4

0.006

 Exhaled nitric oxide, ppb

85

13.5 ± 6.5§¶

37.9 ± 19.5¶

75.5 ± 62.3

 < 0.0001

Modified Reiff score

82

3.2 ± 3.5

2.8 ± 2.9

1.9 ± 2.3

0.30

Number of lobes affected by bronchiolitis

72

3.7 ± 1.8¶

3.0 ± 2.3

2.3 ± 2.0

0.06

Gram-negative bacteria ( +) in sputum, n (%)

71

8 (44.4)

7 (38.9)

8 (22.9)

0.22

P. aeruginosa ( +) in sputum, n (%)

71

4 (22.2)

5 (27.8)¶

2 (5.7)

0.07

Presence of hospitalisation for exacerbation in the last 2 years, n (%)

83

7 (35.0)

7 (35.0)

6 (14.0)

0.08

  1. Unless otherwise specified, the table presents current data. Data are presented as means ± SD. FP fluticasone propionate, ICS inhaled corticosteroid, OCS oral corticosteroid, SCS systemic corticosteroid. *Long-term OCS use was defined as regular current or past OCS use. †Evaluated by attending physicians. ‡Number of responses for each item, §p < 0.05 vs High’-to-low group, ¶p < 0.05 vs High’-to-high’ group