Relationship of computed tomography-based measurements with symptom perception and quality of life in patients with severe asthma

Copyright © 2024 Elsevier Ltd. All rights reserved..

BACKGROUND: Symptom perception and quality of life (QOL) are important domains for properly managing severe asthma. This study aimed to assess the relationship between airway structural and parenchymal variables measured using chest computed tomography (CT) and subjective symptom perception and QOL in patients with severe asthma enrolled in the Korean Severe Asthma Registry.

METHODS: This study used CT-based objective measurements, including airway wall thickness (WT), hydraulic diameter, functional small airway disease (fSAD), and emphysematous lung (Emph), to assess their association with subjective symptom (cough, dyspnea, wheezing, and sputum) perception measured using the visual analog scale, and QOL measured by the Severe Asthma Questionnaire (SAQ).

RESULTS: A total of 94 patients with severe asthma were enrolled in this study. The WT and fSAD% were significantly positively associated with cough and dyspnea, respectively. For QOL, WT and Emph% showed significant negative associations with the SAQ. However, there was no significant association between lung function and symptom perception or between lung function and QOL.

CONCLUSION: Overall, WT, fSAD%, and Emph% measured using chest CT were associated with subjective symptom perception and QOL in patients with severe asthma. This study provides a basis for clarifying the clinical correlates of imaging-derived metrics and for understanding the mechanisms of respiratory symptom perception.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:225

Enthalten in:

Respiratory medicine - 225(2024) vom: 16. Apr., Seite 107598

Sprache:

Englisch

Beteiligte Personen:

Jeong, Jinyoung [VerfasserIn]
Nam, Young-Hee [VerfasserIn]
Sim, Da Woon [VerfasserIn]
Kim, Byung-Keun [VerfasserIn]
Lee, Youngsoo [VerfasserIn]
Shim, Ji-Su [VerfasserIn]
Lee, Suh-Young [VerfasserIn]
Yang, Min-Suk [VerfasserIn]
Kim, Min-Hye [VerfasserIn]
Kim, So Ri [VerfasserIn]
Choi, Sanghun [VerfasserIn]
Kim, Sang-Heon [VerfasserIn]
Koh, Young-Il [VerfasserIn]
Park, Heung-Woo [VerfasserIn]
KoSAR investigators [VerfasserIn]

Links:

Volltext

Themen:

Asthma
Cough
Dyspnea
Journal Article
Perception
Quality of life
Tomography scanners

Anmerkungen:

Date Completed 08.04.2024

Date Revised 08.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.rmed.2024.107598

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369889193