KMID : 0383820150780030190
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Tuberculosis and Respiratory Diseases 2015 Volume.78 No. 3 p.190 ~ p.195
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Predictors of Relapse in Patients with Organizing Pneumonia
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Kim Min-Jung
Cha Seung-Ick Seo Hye-Won Shin Kyung-Min Lim Jae-Kwang Kim Hye-Ra Yoo Seung-Soo Lee Jae-Hee Lee Shin-Yup Kim Chang-Ho Park Jae-Yong
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Abstract
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Background : Although organizing pneumonia (OP) responds well to corticosteroid therapy, relapse is common during dose reduction or follow-up. Predictors of relapse in OP patients remain to be established. The aim of the present study was to identify factors related to relapse in OP patients.
Materials and Methods : This study was retrospectively performed in a tertiary referral center. Of 66 OP patients who were improved with or without treatment, 20 (30%) experienced relapse. The clinical and radiologic parameters in the relapse patient group (n=20) were compared to that in the non-relapse group (n=46).
Results : Multivariate analysis demonstrated that percent predicted forced vital capacity (FVC), PaO2/FiO2, and serum protein level were significant predictors of relapse in OP patients (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.70?0.97; p=0.018; OR, 1.02; 95% CI, 1.00?1.04; p=0.042; and OR, 0.06; 95% CI, 0.01?0.87; p=0.039, respectively).
Conclusion : This study shows that FVC, PaO2/FiO2 and serum protein level at presentation can significantly predict relapse in OP patients.
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KEYWORD
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Cryptogenic Organizing Pneumonia, Recurrence, Vital Capacity
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