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Author Spotlight: Enhancing Diagnostic Strategies and Biomarker Development for Comprehensive Lung Function Analysis
Published on: August 9, 2024
FEV1 is a better predictor of mortality than FVC: the PLATINO cohort study
Ana Maria B Menezes1, Rogelio Pérez-Padilla2, Fernando César Wehrmeister1
1Federal University of Pelotas, Post-graduate Program in Epidemiology, Pelotas, Brazil.
Objective:
To determine whether the presence of chronic obstructive lung disease (COPD) and reduction of lung function parameters were predictors of mortality in a cohort.
Materials/Patients And Methods:
Population based cohorts were followed in Montevideo, Santiago and Sao Paulo during 5, 6 and 9 years, respectively. Outcomes included all-cause, cardiovascular, respiratory and cancer mortality; exposures were COPD, forced expiratory volume in one second (FEV1) and forced vital capacity (FVC). Cox regression was used for analyses. Sensitivity, specificity, positive and negative predictive values, receiver operator characteristics curves and Youden's index were calculated.
Results:
Main causes of death were cardiovascular, respiratory and cancer. Baseline COPD was associated with overall mortality (HR = 1.43 for FEV1/FVC
Answer To The Question:
COPD and low FEV1 are important predictors for overall and cardiovascular mortality in Latin America.
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