The measurement of markers in the expired breath condensate has proven to be a useful method for assessing and monitoring airway inflammation. The aim of this study is to determine the amounts of pH in the expired breath condensate of patients with bronchiectasis, and the relationship between pH and the severity of bronchiectasis.
The aim of this study is to determine the amounts of pH in the expired breath condensate of patients with bronchiectasis, and the relationship between pH and the severity of bronchiectasis. Further clarify the link between EBC pH and the risk of future acute exacerbations, mortality and lung function decline through a one-year follow-up. Hoping to explore new validated biomarkers of the disease severity and progression in bronchiectasis. During the observation, EBC pH and other valid indicators will be measured when patients were enrolled.
Study Type
OBSERVATIONAL
Enrollment
121
Shanghai Pulmonary Hospital , Tongji University
Shanghai, Shanghai Municipality, China
Exhaled breath condensate pH and the disease severity
The Relationship between pH of exhaled breath condensate and disease severity of Bronchiectasis
Time frame: One year
BSI scores
Assessment of the non-cystic fibrosis bronchiectasis severity according by the BSI score at the time of admission
Time frame: 30 days
SGRQ scores
Assessment of the quality of life of non-cystic fibrosis bronchiectasis according by the St.George respiratory questionnaire at the time of admission
Time frame: 30 days
Lung function (FEV1 %, FVC %, FEV1/FVC %)
Lung function will be measured at the time of admission
Time frame: One year
Sputum and peripheral blood inflammatory index (including IL-6, IL-8, IL-1β, TNF-a)
Sputum and peripheral blood inflammatory index will be assessed at the time of admission
Time frame: One year
Sputum neutrophil cell
Sputum neutrophil cell count and percentage will be assessed at the time of admission
Time frame: One year
Sputum bacteriological evaluation
Sputum bacteriological (pseudomonas aeruginosa and others) will be evaluated at the time of admission
Time frame: One year
Blood gases parameters (PaO2, SaO2, PaCO2, pH)
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Blood gases will be assessed at the time of admission
Time frame: 30 days
Chest high-resolution computed tomography (CT)
Chest high-resolution computed tomography (CT) will be evaluated at the time of admission
Time frame: One year
Frequency of acute exacerbation during one year
The number of acute exacerbation will be recorded by telephone follow-up monthly. The definition of acute exacerbation: if there are at least one symptoms (increased sputum volume or purulent sputum, increased dyspnea, increased cough, lung function decline, increased fatigue) or new symptoms (fever, pleurisy, hemoptysis, require antimicrobial therapy), then prompted acute exacerbation.
Time frame: 30 days
Time to first exacerbation during the one-year follow up
The time to first exacerbation within one year after start of the study
Time frame: 30 days
The number of hospitalizations for exacerbation
The number of hospitalizations for exacerbation within one year after start of the study
Time frame: 30 days