Analysis of the factors related to mortality in patients with bronchiectasis.
BACKGROUND
Bronchiectasis is a common disabling but rarely fatal disease. However the long-term prognosis and risk factors for mortality are not well known.


OBJECTIVE
The aim of this study was to determine prospectively the survival and predictive factors of mortality in patients with bronchiectasis, during 4-year follow-up.


METHODS
From September 2000 to January 2005 survival of bronchiectasis (as evaluated by computed tomography) and predictors of mortality were assessed in 98 outpatients. Fifty-one of the patients had self-reported history of pulmonary infection including tuberculosis. Baseline data, reevaluated in every single year according to scheduled visits.


RESULTS
The mean age was 61+/-10 and 74% of the patients were female. In total, 16 patients (16.3%) died; mean survival time was 44.06+/-1.6 months. The survival rates were 97%, 89%, 76%, 58% at 1, 2, 3 and 4 years, respectively. Cox proportional hazard model revealed that long-term mortality was significantly associated with age, body mass index (BMI), Medical Research Council (MRC) dyspnea scale, vaccination, radiographic extent, hypoxemia, hypercapnia and functional parameters. However, MRC and BMI had more significant effects on the mortality than the functional parameters.


CONCLUSIONS
These results suggest that high BMI, regular vaccination and scheduled visits may have beneficial effects on the survival of bronchiectasis. Besides, presence of hypoxemia, hypercapnia, dyspnea level and radiographic extent were more closely correlated with mortality.
Onen
Zeynep Pinar
ZP
Department of Pulmonary Diseases, School of Medicine, Ankara University, Ankara, Turkey. zponen@yahoo.com
Gulbay
Banu Eris
BE
Sen
Elif
E
Yildiz
Oznur Akkoca
OA
Saryal
Sevgi
S
Acican
Turan
T
Karabiyikoglu
Gülseren
G
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001987:Bronchiectasis / Q000150:complications / Q000401:mortality* / Q000503:physiopathology; D002245:Carbon Dioxide / Q000097:blood; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D006935:Hypercapnia / Q000209:etiology; D000860:Hypoxia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010313:Partial Pressure; D011379:Prognosis; D015656:Respiratory Mechanics; D014421:Turkey / Q000453:epidemiology; D014611:Vaccination / Q000706:statistics & numerical data
D002245:Carbon Dioxide; D010100:Oxygen