Acute exacerbation of progressive pulmonary fibrosis: incidence and outcomes

Bibliographic Details
Title: Acute exacerbation of progressive pulmonary fibrosis: incidence and outcomes
Authors: Min Jee Kim, Jiyoul Yang, Jin Woo Song
Source: Respiratory Research, Vol 25, Iss 1, Pp 1-10 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Diseases of the respiratory system
Subject Terms: Interstitial lung disease, Progression, Risk factors, Acute exacerbation, Diseases of the respiratory system, RC705-779
More Details: Abstract Background Few data are available on acute exacerbation (AE) in patients with progressive pulmonary fibrosis (PPF) besides idiopathic pulmonary fibrosis (IPF). This study aimed to investigate the AE incidence and outcomes among patients with PPF. Methods Clinical data of patients with PPF (n = 133) were retrospectively collected at a single center. PPF was defined based on the criteria used in the INBUILD trial. AE was defined as a worsening of dyspnea typically within 30 days with new bilateral lung infiltration and no evidence of cardiac failure or fluid overload. Results Among patients with PPF, the mean age was 60.6 years old, 57.1% were females, and the most common etiology was connective tissue disease-related ILDs (63%). During the follow-up (median: 38.0 months) after PPF diagnosis, 42 patients (31.6%) experienced AE. The 1-, 3-, and 5-year AE incidences were 12.5%, 30.3%, and 38.0%, respectively. Older age, rheumatoid arthritis associated ILD, fibrotic hypersensitivity pneumonitis, and lower lung diffusing capacity for carbon monoxide were AE risk factors. Patients with AE demonstrated worse survival (median survival: 30 months vs. not reached; p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1465-993X
Relation: https://doaj.org/toc/1465-993X
DOI: 10.1186/s12931-024-03048-x
Access URL: https://doaj.org/article/633b88819cd048cfb654010aa95b7c75
Accession Number: edsdoj.633b88819cd048cfb654010aa95b7c75
Database: Directory of Open Access Journals
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More Details
ISSN:1465993X
DOI:10.1186/s12931-024-03048-x
Published in:Respiratory Research
Language:English