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Maranatha D, Amin NP. Asthma-COPD Overlap (ACO) among Adult-onset Asthma Patients. CURRENT RESPIRATORY MEDICINE REVIEWS 2020. [DOI: 10.2174/1573398x16999200629002849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background:
Asthma and asthma-COPD overlap (ACO) are heterogeneous airway
obstruction. This study aims to differentiate ACO and adult-onset asthma based on pulmonary
function tests, smoking history, and atopic status.
Methods:
This cross-sectional study of adult-onset asthma evaluated characteristics, such as
bronchodilator reversibility test, the skin prick test, total serum IgE, and serum IL-13 levels of
asthma patients who were current/former smokers with a smoking history of <10 packs-year and ≥10
packs-year and who also had taken FEV1 / FVC <0.7 post-bronchodilator.
Results:
The data of 30 subjects were analyzed and divided into two groups (23 asthma and 7 ACO
subjects). The ACO patients were older compared to asthma patients (63.4 ± 4.7 vs. 53.7 ± 7.7, p =
0.004). A higher percentage of men was found in ACO than in asthma (85.7% vs. 21.7%, p = 0.004).
There was a difference in the cumulative number of cigarettes consumed in patients with ACO and
asthma (19.4 ± 6.4 vs. 7.2 ± 2.6, p = 0.014). The ratio of FEV1 / FVC post-bronchodilator in ACO
patients was significantly lower than in asthma patients (57.3 ± 6.9 vs. 65.5 ± 8.8, p = 0.033). There
was no difference in the duration of the disease between ACO and asthma (7.2 ± 6.1 vs. 6.1 ± 5.5, p =
0.535).
Conclusion:
Differences were seen in the number of cigarettes consumed and the ratio of FEV1/FVC
in ACO and adult-onset asthma patients. The cumulative number of cigarettes consumed could be a
distinguishing characteristic between ACO and asthma.
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Affiliation(s)
- Daniel Maranatha
- Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Airlangga University, Dr. Soetomo Hospital Surabaya, Surabaya, Indonesia
| | - Nurkristi Permatasari Amin
- Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Airlangga University, Dr. Soetomo Hospital Surabaya, Surabaya, Indonesia
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Hwang YI, Yoo KH, Sheen SS, Park JH, Kim SH, Yoon HI, Lim SC, Lee SY, Park JY, Park SJ, Seo KH, Kim KU, Lee SY, Park IW, Lee SD, Kim SK, Kim YK, Lee SM, Han SK, Kim Y, Cho YM, Park HJ, Oh KW, Kim YS, Oh YM. Prevalence of Chronic Obstructive Pulmonary Disease in Korea: The Result of Forth Korean National Health and Nutrition Examination Survey. Tuberc Respir Dis (Seoul) 2011. [DOI: 10.4046/trd.2011.71.5.328] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Yong Il Hwang
- Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University College of Medicine, Chuncheon, Korea
| | - Kwang Ha Yoo
- Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea
| | - Seung Soo Sheen
- Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, Korea
| | - Joo Hun Park
- Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, Korea
| | - Sang-Ha Kim
- Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Ho Il Yoon
- Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
| | - Sung Chul Lim
- Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
| | - Shin Yup Lee
- Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
| | - Jae Yong Park
- Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
| | - Seoung Ju Park
- Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea
| | - Ki Hyun Seo
- Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea
| | - Ki Uk Kim
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Sang Yeub Lee
- Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
| | - In-Won Park
- Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea
| | - Sang-Do Lee
- Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Se Kyu Kim
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Young Kyoon Kim
- Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Sang-Min Lee
- Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Sung Koo Han
- Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Yuna Kim
- Korea Centers for Disease Control & Prevention, Division of Health and Nutrition Survey, Cheongwon, Korea
| | - Yu Mi Cho
- Korea Centers for Disease Control & Prevention, Division of Health and Nutrition Survey, Cheongwon, Korea
| | - Hye Jin Park
- Korea Centers for Disease Control & Prevention, Division of Health and Nutrition Survey, Cheongwon, Korea
| | - Kyung Won Oh
- Korea Centers for Disease Control & Prevention, Division of Health and Nutrition Survey, Cheongwon, Korea
| | - Young Sam Kim
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Yeon-Mok Oh
- Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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