Cargando…

Risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis

The risk factors of bronchiectasis in patients with chronic obstructive pulmonary disease have not yet been established. This systematic review and meta-analysis aimed to investigate and identify potential risk factors for patients with chronic obstructive pulmonary disease accompanied by bronchiect...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, XinXin, Pang, LiJian, Lv, XiaoDong, Zhang, HaoYang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Medicina / USP 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024924/
https://www.ncbi.nlm.nih.gov/pubmed/33886788
http://dx.doi.org/10.6061/clinics/2021/e2420
_version_ 1783675410200920064
author Zhang, XinXin
Pang, LiJian
Lv, XiaoDong
Zhang, HaoYang
author_facet Zhang, XinXin
Pang, LiJian
Lv, XiaoDong
Zhang, HaoYang
author_sort Zhang, XinXin
collection PubMed
description The risk factors of bronchiectasis in patients with chronic obstructive pulmonary disease have not yet been established. This systematic review and meta-analysis aimed to investigate and identify potential risk factors for patients with chronic obstructive pulmonary disease accompanied by bronchiectasis. We reviewed eight electronic journal databases from their inception to November 2019 for observational studies with no language restrictions. The Newcastle-Ottawa Scale was applied to evaluate the quality of the literature. Binary variables were pooled using odds ratios and continuous variables using the standardized mean difference with 95% confidence intervals. The confidence of evidence was assessed according to the grading of the recommendations assessment, development, and evaluation method. Eight case-control studies met the inclusion criteria. Tuberculosis history, smoking history, hospitalization stays, admissions in the past year, and duration of symptoms were considered risk factors. In addition, the ratio between the forced expiratory volume in 1s and forced vital capacity, the percentage of forced expiratory volume in 1s, the forced expiratory volume in 1s as a percentage of the predicted value, purulent sputum, purulent mucus sputum, positive sputum culture, Pseudomonas aeruginosa infection, arterial oxygen pressure, daily dyspnea, C-reactive protein, leukocytes, and the percentage of neutrophils were found to be closely related to bronchiectasis. However, these were not considered risk factors. The evidence of all outcomes was judged as “low” or “very low.” Additional prospective studies are required to elucidate the underlying risk factors and identify effective preventive interventions.
format Online
Article
Text
id pubmed-8024924
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Faculdade de Medicina / USP
record_format MEDLINE/PubMed
spelling pubmed-80249242021-04-08 Risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis Zhang, XinXin Pang, LiJian Lv, XiaoDong Zhang, HaoYang Clinics (Sao Paulo) Review Article The risk factors of bronchiectasis in patients with chronic obstructive pulmonary disease have not yet been established. This systematic review and meta-analysis aimed to investigate and identify potential risk factors for patients with chronic obstructive pulmonary disease accompanied by bronchiectasis. We reviewed eight electronic journal databases from their inception to November 2019 for observational studies with no language restrictions. The Newcastle-Ottawa Scale was applied to evaluate the quality of the literature. Binary variables were pooled using odds ratios and continuous variables using the standardized mean difference with 95% confidence intervals. The confidence of evidence was assessed according to the grading of the recommendations assessment, development, and evaluation method. Eight case-control studies met the inclusion criteria. Tuberculosis history, smoking history, hospitalization stays, admissions in the past year, and duration of symptoms were considered risk factors. In addition, the ratio between the forced expiratory volume in 1s and forced vital capacity, the percentage of forced expiratory volume in 1s, the forced expiratory volume in 1s as a percentage of the predicted value, purulent sputum, purulent mucus sputum, positive sputum culture, Pseudomonas aeruginosa infection, arterial oxygen pressure, daily dyspnea, C-reactive protein, leukocytes, and the percentage of neutrophils were found to be closely related to bronchiectasis. However, these were not considered risk factors. The evidence of all outcomes was judged as “low” or “very low.” Additional prospective studies are required to elucidate the underlying risk factors and identify effective preventive interventions. Faculdade de Medicina / USP 2021-04-07 2021 /pmc/articles/PMC8024924/ /pubmed/33886788 http://dx.doi.org/10.6061/clinics/2021/e2420 Text en Copyright © 2021 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
spellingShingle Review Article
Zhang, XinXin
Pang, LiJian
Lv, XiaoDong
Zhang, HaoYang
Risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis
title Risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis
title_full Risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis
title_fullStr Risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis
title_full_unstemmed Risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis
title_short Risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis
title_sort risk factors for bronchiectasis in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024924/
https://www.ncbi.nlm.nih.gov/pubmed/33886788
http://dx.doi.org/10.6061/clinics/2021/e2420
work_keys_str_mv AT zhangxinxin riskfactorsforbronchiectasisinpatientswithchronicobstructivepulmonarydiseaseasystematicreviewandmetaanalysis
AT panglijian riskfactorsforbronchiectasisinpatientswithchronicobstructivepulmonarydiseaseasystematicreviewandmetaanalysis
AT lvxiaodong riskfactorsforbronchiectasisinpatientswithchronicobstructivepulmonarydiseaseasystematicreviewandmetaanalysis
AT zhanghaoyang riskfactorsforbronchiectasisinpatientswithchronicobstructivepulmonarydiseaseasystematicreviewandmetaanalysis