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Research ArticleOriginal Research

Serum Albumin and Disease Severity of Non-Cystic Fibrosis Bronchiectasis

Seung Jun Lee, Hyo-Jung Kim, Ju-Young Kim, Sunmi Ju, Sujin Lim, Jung Wan Yoo, Sung-Jin Nam, Gi Dong Lee, Hyun Seop Cho, Rock Bum Kim, Yu Ji Cho, Yi Yeong Jeong, Ho Cheol Kim and Jong Deog Lee
Respiratory Care May 2017, respcare.05276; DOI: https://doi.org/10.4187/respcare.05276
Seung Jun Lee
Division of Pulmonology and Allergy
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Hyo-Jung Kim
Division of Pulmonology and Allergy
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Ju-Young Kim
Division of Pulmonology and Allergy
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Sunmi Ju
Division of Pulmonology and Allergy
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Sujin Lim
Division of Pulmonology and Allergy
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Jung Wan Yoo
Division of Pulmonology and Allergy
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Sung-Jin Nam
Division of Pulmonology and Allergy and
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Gi Dong Lee
Division of Pulmonology and Allergy and
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Hyun Seop Cho
Division of Pulmonology and Allergy
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Rock Bum Kim
Department of Preventive Medicine and Environmental Health Center, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Republic of Korea.
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Yu Ji Cho
Division of Nephrology, Department of Internal Medicine, and
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Yi Yeong Jeong
Division of Pulmonology and Allergy
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Ho Cheol Kim
Division of Pulmonology and Allergy and
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Jong Deog Lee
Division of Pulmonology and Allergy
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  • For correspondence: ljd8611@nate.com
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Abstract

BACKGROUND: A clinical classification system has been developed to define the severity and predict the prognosis of subjects with non-cystic fibrosis bronchiectasis (non-CF bronchiectasis). We aimed to identify laboratory parameters that are correlated with the bronchiectasis severity index (BSI) and FACED score.

METHODS: The medical records of 107 subjects with non-CF bronchiectasis for whom BSI and FACED scores could be calculated were retrospectively reviewed. The correlations between the laboratory parameters and BSI or FACED score were assessed, and multiple-linear regression analysis was performed to identify variables independently associated with BSI and FACED score. An additional subgroup analysis was performed according to sex.

RESULTS: Among all of the enrolled subjects, 49 (45.8%) were male and 58 (54.2%) were female. The mean BSI and FACED scores were 9.43 ± 3.81 and 1.92 ± 1.59, respectively. The serum albumin level (r = −0.49), bilirubin level (r = −0.31), C-reactive protein level (r = 0.22), hemoglobin level (r = −0.2), and platelet/lymphocyte ratio (r = 0.31) were significantly correlated with BSI. Meanwhile, serum albumin (r = −0.37) and bilirubin level (r = −0.25) showed a significant correlation with the FACED score. Multiple-linear regression analysis showed that the serum bilirubin level was independently associated with BSI, and the serum albumin level was independently associated with both scoring systems. Subgroup analysis revealed that the level of uric acid was also a significant variable independently associated with the BSI in male bronchiectasis subjects.

CONCLUSIONS: Several laboratory variables were identified as possible prognostic factors for non-CF bronchiectasis. Among them, the serum albumin level exhibited the strongest correlation and was identified as an independent variable associated with the BSI and FACED scores.

  • non-cystic fibrosis bronchiectasis
  • serum albumin
  • bronchiectasis severity index
  • FACED score

Footnotes

  • Correspondence: Jong Deog Lee PhD MD, Division of Pulmonology and Allergy, Department of Internal Medicine, School of Medicine, Gyeongsang National University, 92 Chilam-dong, Jinju, Gyeongnam 660-751, Republic of Korea. E-mail: ljd8611{at}nate.com.
  • The authors have disclosed no conflicts of interest.

  • Copyright © 2017 by Daedalus Enterprises
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Respiratory Care: 64 (2)
Respiratory Care
Vol. 64, Issue 2
1 Feb 2019
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Serum Albumin and Disease Severity of Non-Cystic Fibrosis Bronchiectasis
Seung Jun Lee, Hyo-Jung Kim, Ju-Young Kim, Sunmi Ju, Sujin Lim, Jung Wan Yoo, Sung-Jin Nam, Gi Dong Lee, Hyun Seop Cho, Rock Bum Kim, Yu Ji Cho, Yi Yeong Jeong, Ho Cheol Kim, Jong Deog Lee
Respiratory Care May 2017, respcare.05276; DOI: 10.4187/respcare.05276

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Serum Albumin and Disease Severity of Non-Cystic Fibrosis Bronchiectasis
Seung Jun Lee, Hyo-Jung Kim, Ju-Young Kim, Sunmi Ju, Sujin Lim, Jung Wan Yoo, Sung-Jin Nam, Gi Dong Lee, Hyun Seop Cho, Rock Bum Kim, Yu Ji Cho, Yi Yeong Jeong, Ho Cheol Kim, Jong Deog Lee
Respiratory Care May 2017, respcare.05276; DOI: 10.4187/respcare.05276
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Keywords

  • non-cystic fibrosis bronchiectasis
  • serum albumin
  • bronchiectasis severity index
  • FACED score

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