Description

Esteban et al reported a classification and regression tree (CART) for patients with stable COPD. The authors are from the University of Basque Country and Hospital de GaldakaoUsansolo in Spain.


Patient selection: stable COPD

 

Outcome: 5-year mortality risk

 

Parameters:

(1) age in years

(2) FEV1 as percent of predicted

(3) dyspnea severity from 1 to 4 (Fletcher et al, 1 = after vigorous exercise, 4 = at rest or minimal exertion)

(4) past hospitalization for COPD exacerbation

(5) physical activity (very low, low, moderate, high)

 

For patients >= 75 years

 

Dyspnea Severity

FEV1

Past Hospital

Physical Activity

Mortality Risk

1 or 2

NA

0 or 1

M or H

12.1%

1 or 2

NA

0 or 1

VL or L

45.2%

1 or 2

NA

>= 2

NA

85.7%

3 or 4

> 49%

NA

NA

52.2%

3 or 4

<= 49%

NA

NA

74.4%

 

For patients < 75 years

 

Age

FEV1

Dyspnea

Past Hospital

Physical Activity

Mortality Risk

<55

>= 35%

NA

<= 1

NA

4.4%

55 to 74

> 65%

NA

NA

NA

7.7%

55 to 74

35 to 65%

NA

<= 1

H

10.5%

55 to 74

35 to 65%

NA

<= 1

L or M

16.9%

55 to 74

35 to 65%

NA

<= 1

VL

30.8%

< 75

> 65%

NA

> 1

NA

14.3%

< 75

35-65%

NA

> 1

M or H

27.3%

< 75

35-65%

NA

> 1

VL or L

65%

< 75

< 35%

1 or 2

0

NA

18.2%

< 75

< 35%

1 or 2

>=1

NA

42.9%

< 75

< 35%

3 or 4

NA

NA

60.4%

 


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