Pub Date : 2025-11-28DOI: 10.1016/j.resmer.2025.101231
Irene Sansano , Ana Vázquez , Oscar Persiva , Marc Simó , Leire Sánchez , Pilar Montoya , Carme Dinarès , Carmen Alemán
Background
The diagnosis of malignant pleural mesothelioma (MPM) can be challenging for clinicians and pathologists.
Patients and methods
This study included all patients diagnosed with pleural mesothelioma between October 2013 and April 2024. Clinical data, history of asbestos exposure, pleural fluid analysis, chest-X-ray, thoracic computed tomography and positron emission tomography findings, video-assisted thoracic surgery report, pleural fluid cytology and pleural biopsy results were included. Loss of BRCA1-associated protein 1 (BAP1) nuclear staining was examined in cytologies and biopsies.
Results
Forty-one patients were diagnosed with pleural mesothelioma, 35 epithelioid, 5 sarcomatoid and 1 biphasic. The diagnosis was established after the first sample in 30 patients, while a second one was necessary in 11 patients. BAP1 loss in pleural cytology and histology was not always consistent. Sixteen patients showed loss of BAP1 expression in cytology. Among these, 10 patients also presented BAP1 loss in pleural histology, whereas 5 patients with BAP1 loss in histology did not show BAP1 loss in cytology. Additionally, two patients initially diagnosed with idiopathic pleural effusion and 3 patients diagnosed with benign pleural effusion due to asbestos showed BAP1 loss and were later diagnosed with MPM during follow-up.
Conclusion
MPM remains difficult to diagnose. Performing BAP1 immunohistochemistry in patients with an undiagnosed pleural effusion or a history of asbestos exposure can aid in identifying those with mesothelioma.
{"title":"BAP-1 in the diagnosis of malignant pleural mesothelioma","authors":"Irene Sansano , Ana Vázquez , Oscar Persiva , Marc Simó , Leire Sánchez , Pilar Montoya , Carme Dinarès , Carmen Alemán","doi":"10.1016/j.resmer.2025.101231","DOIUrl":"10.1016/j.resmer.2025.101231","url":null,"abstract":"<div><h3>Background</h3><div>The diagnosis of malignant pleural mesothelioma (MPM) can be challenging for clinicians and pathologists.</div></div><div><h3>Patients and methods</h3><div>This study included all patients diagnosed with pleural mesothelioma between October 2013 and April 2024. Clinical data, history of asbestos exposure, pleural fluid analysis, chest-X-ray, thoracic computed tomography and positron emission tomography findings, video-assisted thoracic surgery report, pleural fluid cytology and pleural biopsy results were included. Loss of BRCA1-associated protein 1 (BAP1) nuclear staining was examined in cytologies and biopsies.</div></div><div><h3>Results</h3><div>Forty-one patients were diagnosed with pleural mesothelioma, 35 epithelioid, 5 sarcomatoid and 1 biphasic. The diagnosis was established after the first sample in 30 patients, while a second one was necessary in 11 patients. BAP1 loss in pleural cytology and histology was not always consistent. Sixteen patients showed loss of BAP1 expression in cytology. Among these, 10 patients also presented BAP1 loss in pleural histology, whereas 5 patients with BAP1 loss in histology did not show BAP1 loss in cytology. Additionally, two patients initially diagnosed with idiopathic pleural effusion and 3 patients diagnosed with benign pleural effusion due to asbestos showed BAP1 loss and were later diagnosed with MPM during follow-up.</div></div><div><h3>Conclusion</h3><div>MPM remains difficult to diagnose. Performing BAP1 immunohistochemistry in patients with an undiagnosed pleural effusion or a history of asbestos exposure can aid in identifying those with mesothelioma.</div></div>","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"89 ","pages":"Article 101231"},"PeriodicalIF":1.8,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic myelomonocytic leukaemia occurring in patients with pulmonary Langerhans cell histiocytosis: A common progenitor?","authors":"Pierre Thoré, Sérine Chaibi, Matthieu Duchmann, Raphaël Itzykson, Amira Benattia, Abdellatif Tazi","doi":"10.1016/j.resmer.2025.101221","DOIUrl":"10.1016/j.resmer.2025.101221","url":null,"abstract":"","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"89 ","pages":"Article 101221"},"PeriodicalIF":1.8,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Response to the comment of Yu Tian et al. on “Increasing sleep apnoea burden in the elderly in Finland from 1996 to 2018: A national registry study”","authors":"Hannele Hasala, Tiina Mattila, Hanna-Riikka Kreivi, Heidi Avellan-Hietanen, Tuula Vasankari, Fredrik Herse, Riikka-Leena Leskelä, Sanna Toppila-Salmi, Marina Erhola, Tuija Jääskeläinen, Tari Haahtela","doi":"10.1016/j.resmer.2025.101226","DOIUrl":"10.1016/j.resmer.2025.101226","url":null,"abstract":"","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"89 ","pages":"Article 101226"},"PeriodicalIF":1.8,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-13DOI: 10.1016/j.resmer.2025.101225
Martin Boussuges , Mathilde Cadic , Aurélie Kienlen , Pierre-Jean Marianne Dit Cassou , Thomas Masseguin , Cyril D’Andrea
{"title":"Gas embolism during pleural lavage for empyema : potential risk factors from two clinical cases","authors":"Martin Boussuges , Mathilde Cadic , Aurélie Kienlen , Pierre-Jean Marianne Dit Cassou , Thomas Masseguin , Cyril D’Andrea","doi":"10.1016/j.resmer.2025.101225","DOIUrl":"10.1016/j.resmer.2025.101225","url":null,"abstract":"","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"89 ","pages":"Article 101225"},"PeriodicalIF":1.8,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-09DOI: 10.1016/j.resmer.2025.101224
Bruno Ribeiro-Baptista , Pierre-Olivier Girodet , Olivier Le Rouzic , Maéva Zysman , Nicolas Roche , Lucile Regard
{"title":"Moving towards COPD control: Lessons, challenges, and the role of CONDOR, a new French respiratory research network","authors":"Bruno Ribeiro-Baptista , Pierre-Olivier Girodet , Olivier Le Rouzic , Maéva Zysman , Nicolas Roche , Lucile Regard","doi":"10.1016/j.resmer.2025.101224","DOIUrl":"10.1016/j.resmer.2025.101224","url":null,"abstract":"","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"89 ","pages":"Article 101224"},"PeriodicalIF":1.8,"publicationDate":"2025-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-09DOI: 10.1016/j.resmer.2025.101227
Gaspard Naulleau , Lise Matton , Ioana Hutuca , Xavier Fremand , Florence Jeny , Boris Duchemann
{"title":"Organising pneumonia following amivantamab treatment: a case report","authors":"Gaspard Naulleau , Lise Matton , Ioana Hutuca , Xavier Fremand , Florence Jeny , Boris Duchemann","doi":"10.1016/j.resmer.2025.101227","DOIUrl":"10.1016/j.resmer.2025.101227","url":null,"abstract":"","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"89 ","pages":"Article 101227"},"PeriodicalIF":1.8,"publicationDate":"2025-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.resmer.2025.101220
ZhiLing Yuan , Philip CM Au , Ching Lung Cheung , James Chung Man Ho , Wang Chun Kwok
While the incidence and prevalence of bronchiectasis was reported to be increasing in different parts of the world, the epidemiological data on adult bronchiectasis in Hong Kong is lacking. We aim to investigate the incidence and prevalence of adult bronchiectasis patients in Hong Kong, and to assess the changes in trends over time.
The study population was identified through the Clinical Data Analysis and Reporting System (CDARS) of Hospital Authority, Hong Kong. Patients aged 20 or above with the diagnostic code of bronchiectasis managed in all public hospitals and clinics in Hospital Authority, Hong Kong from 2008 to 2023 were retrospectively recruited. Joinpoint regression was employed to analyze trends in prevalence and incidence, estimating the average annual percent change (AAPC).
The overall prevalence of adult bronchiectasis in Hong Kong has been steadily rising from 2008 to 2023. The prevalence increased from 176.30 per 100,000 population (95 % CI 172.83 to 179.77) in 2008 to 238.09 per 100,000 population (95 % CI 234.34 to 241.85) in 2023, with AAPC 2.20 (95 % CI 1.82 to 2.22). The overall bronchiectasis incidence rate remained relatively stable from 18.48 per 100,000 population to 19.15 per 100,000 population from 2008 to 2023. In 2019, the incidence of bronchiectasis peaked at 25.38 per 100,000 population (95 % CI 21.64 to 29.11).
The prevalence of adult bronchiectasis has been increasing from year 2008 to 2023 in Hong Kong, with a largely stable incidence. The results concur with other epidemiological studies in other countries.
据报道,世界各地的支气管扩张的发病率和流行率都在上升,但香港缺乏有关成人支气管扩张的流行病学数据。我们的目的是调查香港成人支气管扩张患者的发病率和患病率,并评估其随时间的变化趋势。研究人群是通过香港医院管理局的临床数据分析和报告系统(CDARS)确定的。回顾性招募2008年至2023年期间在香港医院管理局所有公立医院和诊所接受支气管扩张诊断代码的20岁或以上患者。采用联合点回归分析患病率和发病率的趋势,估计平均年变化百分比(AAPC)。香港成人支气管扩张症的整体患病率由2008年至2023年一直稳步上升。患病率从2008年的176.30 / 10万人(95% CI 172.83 ~ 179.77)增加到2023年的238.09 / 10万人(95% CI 234.34 ~ 241.85), AAPC为2.20 (95% CI 1.82 ~ 2.22)。从2008年到2023年,支气管扩张的总发病率保持相对稳定,从18.48 / 10万人口到19.15 / 10万人口。2019年,支气管扩张的发病率达到峰值,为每10万人25.38例(95% CI 21.64至29.11)。香港成人支气管扩张症的发病率由2008年至2023年呈上升趋势,但发病率基本稳定。研究结果与其他国家的流行病学研究结果一致。
{"title":"Prevalence and incidence of adult bronchiectasis in Hong Kong from 2008–2023: A population-based cohort study","authors":"ZhiLing Yuan , Philip CM Au , Ching Lung Cheung , James Chung Man Ho , Wang Chun Kwok","doi":"10.1016/j.resmer.2025.101220","DOIUrl":"10.1016/j.resmer.2025.101220","url":null,"abstract":"<div><div>While the incidence and prevalence of bronchiectasis was reported to be increasing in different parts of the world, the epidemiological data on adult bronchiectasis in Hong Kong is lacking. We aim to investigate the incidence and prevalence of adult bronchiectasis patients in Hong Kong, and to assess the changes in trends over time.</div><div>The study population was identified through the Clinical Data Analysis and Reporting System (CDARS) of Hospital Authority, Hong Kong. Patients aged 20 or above with the diagnostic code of bronchiectasis managed in all public hospitals and clinics in Hospital Authority, Hong Kong from 2008 to 2023 were retrospectively recruited. Joinpoint regression was employed to analyze trends in prevalence and incidence, estimating the average annual percent change (AAPC).</div><div>The overall prevalence of adult bronchiectasis in Hong Kong has been steadily rising from 2008 to 2023. The prevalence increased from 176.30 per 100,000 population (95 % CI 172.83 to 179.77) in 2008 to 238.09 per 100,000 population (95 % CI 234.34 to 241.85) in 2023, with AAPC 2.20 (95 % CI 1.82 to 2.22). The overall bronchiectasis incidence rate remained relatively stable from 18.48 per 100,000 population to 19.15 per 100,000 population from 2008 to 2023. In 2019, the incidence of bronchiectasis peaked at 25.38 per 100,000 population (95 % CI 21.64 to 29.11).</div><div>The prevalence of adult bronchiectasis has been increasing from year 2008 to 2023 in Hong Kong, with a largely stable incidence. The results concur with other epidemiological studies in other countries.</div></div>","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"88 ","pages":"Article 101220"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bronchial asthma is a common disease treated primarily with inhaled corticosteroids (ICS) and long-acting beta-2 agonists (LABA), yet optimal add-on therapy with long-acting muscarinic antagonists (LAMA) or leukotriene receptor antagonists (LTRA) remains unclear. This multicenter, randomized, open-label phase 2 screening trial compared the efficacy of adding tiotropium (LAMA) versus montelukast (LTRA) to ICS/LABA therapy in adult patients with poorly controlled asthma. Patients were randomly assigned to receive either tiotropium or montelukast for 12 weeks. Primary outcome was the change in forced expiratory volume in 1 second (FEV1), secondary outcomes included changes in asthma control questionnaire (ACQ-5), asthma control test (ACT) scores, and peak expiratory flow (PEF). Ninety-four patients were analyzed. Over 12 weeks, the tiotropium group showed significant improvements in FEV1 and PEF, while the montelukast group showed no improvement in respiratory function. Both groups, however, showed significant improvements in ACQ-5 and ACT. The primary endpoint, change in FEV1 improved similarly in both groups (tiotropium 2.03 ± 0.74 to 2.10 ± 0.72 L vs montelukast 2.08 ± 0.69 to 2.13 ± 0.67 L; p = 0.736), while the tiotropium group exhibited a significantly greater improvement in PEF (tiotropium 5.41 ± 1.85 to 5.92 ± 1.93 L/s vs montelukast 5.58 ± 1.84 to 5.65 ± 1.82 L/s; p = 0.025). Subgroup analysis of patients with allergic rhinitis revealed the ACQ-5 score was significantly improved in the montelukast group (tiotropium 0.94 ± 0.64 to 0.68 ± 0.76 L/s vs montelukast 1.26 ± 1.15 to 0.53 ± 0.86 L/s; p = 0.002). Adding tiotropium to ICS/LABA therapy improves respiratory function, whereas adding montelukast enhances symptom control, particularly in patients with allergic rhinitis. These findings underscore the importance of personalized treatment approaches in asthma management by demonstrating that both tiotropium and montelukast confer distinct benefits according to patient characteristics, while also addressing a significant gap in the literature regarding optimal adjunctive therapies for adult asthma, given the scarcity of studies directly comparing these add-on strategies. Further research is needed to establish definitive guidelines for optimal add-on therapies in asthma.
支气管哮喘是一种常见疾病,主要用吸入皮质类固醇(ICS)和长效β -2激动剂(LABA)治疗,但最佳的辅助治疗是长效毒蕈碱拮抗剂(LAMA)或白三烯受体拮抗剂(LTRA)仍不清楚。这项多中心、随机、开放标签的2期筛选试验比较了在ICS/LABA治疗中添加噻托溴铵(LAMA)和孟鲁司特(LTRA)对控制不良的成人哮喘患者的疗效。患者被随机分配接受噻托溴铵或孟鲁司特治疗12周。主要终点是1秒用力呼气量(FEV1)的变化,次要终点包括哮喘控制问卷(ACQ-5)、哮喘控制测试(ACT)评分和呼气峰流量(PEF)的变化。对94例患者进行了分析。12周后,噻托溴胺组FEV1和PEF有明显改善,而孟鲁司特组呼吸功能无改善。然而,两组患者的ACQ-5和ACT均有显著改善。主要终点,两组FEV1的改善相似(噻托溴铵2.03±0.74至2.10±0.72 L vs孟鲁司特2.08±0.69至2.13±0.67 L, p = 0.736),而噻托溴铵组PEF的改善明显更大(噻托溴铵5.41±1.85至5.92±1.93 L/s vs孟鲁司特5.58±1.84至5.65±1.82 L/s, p = 0.025)。变应性鼻炎患者亚组分析显示,孟鲁司特组ACQ-5评分显著提高(替托品0.94±0.64 ~ 0.68±0.76 L/s vs孟鲁司特1.26±1.15 ~ 0.53±0.86 L/s; p = 0.002)。在ICS/LABA治疗中添加噻托溴铵可改善呼吸功能,而添加孟鲁司特可增强症状控制,特别是在变应性鼻炎患者中。这些研究结果强调了个性化治疗方法在哮喘管理中的重要性,表明噻托溴铵和孟鲁司特根据患者特征赋予不同的益处,同时也解决了关于成人哮喘最佳辅助治疗的文献中的重大空白,因为缺乏直接比较这些附加策略的研究。需要进一步的研究来确定哮喘最佳附加治疗的明确指南。
{"title":"Long-acting muscarinic antagonist versus leukotriene receptor antagonist as additional treatment in uncontrolled asthma patients used inhaled corticosteroids and long-acting β2 adrenergic agonist: a randomized phase 2 screening trial","authors":"Fumiya Nihashi , Kazuki Furuhashi , Mitsuru Niwa , Hirotsugu Hasegawa , Yusuke Kaida , Mikio Toyoshima , Naoki Koshimizu , Toshihiro Shirai , Masato Fujii , Kazutaka Mori , Masaki Ikeda , Yusuke Inoue , Hideki Yasui , Hironao Hozumi , Yuzo Suzuki , Masato Karayama , Noriyuki Enomoto , Tomoyuki Fujisawa , Naoki Inui , Takafumi Suda","doi":"10.1016/j.resmer.2025.101191","DOIUrl":"10.1016/j.resmer.2025.101191","url":null,"abstract":"<div><div>Bronchial asthma is a common disease treated primarily with inhaled corticosteroids (ICS) and long-acting beta-2 agonists (LABA), yet optimal add-on therapy with long-acting muscarinic antagonists (LAMA) or leukotriene receptor antagonists (LTRA) remains unclear. This multicenter, randomized, open-label phase 2 screening trial compared the efficacy of adding tiotropium (LAMA) versus montelukast (LTRA) to ICS/LABA therapy in adult patients with poorly controlled asthma. Patients were randomly assigned to receive either tiotropium or montelukast for 12 weeks. Primary outcome was the change in forced expiratory volume in 1 second (FEV<sub>1</sub>), secondary outcomes included changes in asthma control questionnaire (ACQ-5), asthma control test (ACT) scores, and peak expiratory flow (PEF). Ninety-four patients were analyzed. Over 12 weeks, the tiotropium group showed significant improvements in FEV<sub>1</sub> and PEF, while the montelukast group showed no improvement in respiratory function. Both groups, however, showed significant improvements in ACQ-5 and ACT. The primary endpoint, change in FEV<sub>1</sub> improved similarly in both groups (tiotropium 2.03 ± 0.74 to 2.10 ± 0.72 L vs montelukast 2.08 ± 0.69 to 2.13 ± 0.67 L; <em>p</em> = 0.736), while the tiotropium group exhibited a significantly greater improvement in PEF (tiotropium 5.41 ± 1.85 to 5.92 ± 1.93 L/s vs montelukast 5.58 ± 1.84 to 5.65 ± 1.82 L/s; <em>p</em> = 0.025). Subgroup analysis of patients with allergic rhinitis revealed the ACQ-5 score was significantly improved in the montelukast group (tiotropium 0.94 ± 0.64 to 0.68 ± 0.76 L/s vs montelukast 1.26 ± 1.15 to 0.53 ± 0.86 L/s; <em>p</em> = 0.002). Adding tiotropium to ICS/LABA therapy improves respiratory function, whereas adding montelukast enhances symptom control, particularly in patients with allergic rhinitis. These findings underscore the importance of personalized treatment approaches in asthma management by demonstrating that both tiotropium and montelukast confer distinct benefits according to patient characteristics, while also addressing a significant gap in the literature regarding optimal adjunctive therapies for adult asthma, given the scarcity of studies directly comparing these add-on strategies. Further research is needed to establish definitive guidelines for optimal add-on therapies in asthma.</div></div>","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"88 ","pages":"Article 101191"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospitalization of patients with interstitial lung disease (ILD) is a poor prognostic factor. Simple and rapid biomarkers at the time of admission of hospitalized ILD patients are needed. The aim of this study was to investigate prognostic biomarkers in hospitalized patients with ILD.
Methods
A total of 95 consecutive hospitalized patients aged ≥ 65 years with ILD were retrospectively enrolled from April 2022 to December 2024 at Tokyo Medical University Hospital, Tokyo, Japan. Clinical and laboratory parameters at admission were retrospectively collected, and risk factors for in-hospital mortality were evaluated.
Results
The median age was 77 years (IQR: 72–83), and 62 patients (65.0 %) were male. Sixty-nine patients (73.0 %) were ex-smokers. Thirty patients (31.5 %) died during hospitalization, with a median time to death of 19 days (IQR: 10–28). Univariable analysis revealed that a low SpO2/FiO2 (S/F) ratio (<419) (p = 0.0003), high neutrophil-to-lymphocyte ratio (NLR) (≥6.5) (p = 0.0003), Glasgow Prognostic Score (GPS) 2 (p = 0.0383), and low Mini Nutritional Assessment Short-Form (MNA-SF) score (<11) (p = 0.0007) were significantly associated with in-hospital mortality of hospitalized patients with ILD. In the multivariable analysis, S/F ratio (p = 0.0116) and low MNA-SF score (p = 0.0289) had a significant effect on the prognosis of hospitalized patients with ILD.
Conclusions
Nutritional risk assessed by the MNA-SF, together with oxygenation status measured by the S/F ratio, could serve as valuable and readily available prognostic biomarkers for hospitalized patients with ILD.
{"title":"Prognostic value of the mini nutritional assessment short-form and SpO₂/FiO₂ ratio at admission for in-hospital mortality in patients with interstitial lung disease","authors":"Mayuko Ishiwari, Yuta Kono, Yuki Togashi, Kenichi Kobayashi, Ryota Kikuchi, Mariko Kogami, Shinji Abe","doi":"10.1016/j.resmer.2025.101222","DOIUrl":"10.1016/j.resmer.2025.101222","url":null,"abstract":"<div><h3>Background</h3><div>Hospitalization of patients with interstitial lung disease (ILD) is a poor prognostic factor. Simple and rapid biomarkers at the time of admission of hospitalized ILD patients are needed. The aim of this study was to investigate prognostic biomarkers in hospitalized patients with ILD.</div></div><div><h3>Methods</h3><div>A total of 95 consecutive hospitalized patients aged ≥ 65 years with ILD were retrospectively enrolled from April 2022 to December 2024 at Tokyo Medical University Hospital, Tokyo, Japan. Clinical and laboratory parameters at admission were retrospectively collected, and risk factors for in-hospital mortality were evaluated.</div></div><div><h3>Results</h3><div>The median age was 77 years (IQR: 72–83), and 62 patients (65.0 %) were male. Sixty-nine patients (73.0 %) were ex-smokers. Thirty patients (31.5 %) died during hospitalization, with a median time to death of 19 days (IQR: 10–28). Univariable analysis revealed that a low SpO<sub>2</sub>/FiO<sub>2</sub> (S/F) ratio (<419) (<em>p</em> = 0.0003), high neutrophil-to-lymphocyte ratio (NLR) (≥6.5) (<em>p</em> = 0.0003), Glasgow Prognostic Score (GPS) 2 (<em>p</em> = 0.0383), and low Mini Nutritional Assessment Short-Form (MNA-SF) score (<11) (<em>p</em> = 0.0007) were significantly associated with in-hospital mortality of hospitalized patients with ILD. In the multivariable analysis, S/F ratio (<em>p</em> = 0.0116) and low MNA-SF score (<em>p</em> = 0.0289) had a significant effect on the prognosis of hospitalized patients with ILD.</div></div><div><h3>Conclusions</h3><div>Nutritional risk assessed by the MNA-SF, together with oxygenation status measured by the S/F ratio, could serve as valuable and readily available prognostic biomarkers for hospitalized patients with ILD.</div></div>","PeriodicalId":48479,"journal":{"name":"Respiratory Medicine and Research","volume":"88 ","pages":"Article 101222"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}