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Changes in Forced Expiratory Volume in 1 Second over Time in COPD
Ist Teil von
The New England journal of medicine, 2011-09, Vol.365 (13), p.1184-1192
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2011
Quelle
MEDLINE
Beschreibungen/Notizen
In patients with chronic obstructive pulmonary disease (COPD), lung function decreases rapidly. Analysis of data from a large observational study of COPD showed that the rate of such loss is highly variable, and current smoking was associated with a rapid loss.
Since the seminal studY by Fletcher et al. in the 1970s,
1
,
2
it has been widely accepted that chronic obstructive pulmonary disease (COPD) is characterized by an accelerated decline in forced expiratory volume in 1 second (FEV
1
). However, surprisingly few longitudinal studies of patient cohorts have provided detailed data regarding the rate of decline in FEV
1
,
3
–
8
and none of these studies have related changes in FEV
1
to specific subgroups of patients with COPD or to levels of systemic biomarkers. We used data from a large, observational, 3-year study that included detailed assessments of patients . . .